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NPI Code Detail

MEDICARE: SABINA LIM MD

MEDICARE: SABINA LIM MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician041705CT

General Provider Information

NPI Number : 1851372429
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABINA LIM MD
Provider Business Mailing Address
First Line : 184 LIBERTY ST
Second Line : LV-117
City : NEW HAVEN
State : CT
Zip : 06519-1625
Country : US
Telephone Number : 203-688-2619
Fax Number : 203-737-2221
Provider Business Practice Location Address
First Line : 184 LIBERTY ST
Second Line : LV-117
City : NEW HAVEN
State : CT
Zip : 06519-1625
Country : US
Telephone Number : 203-688-2619
Fax Number : 203-737-2221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2005
Last Update Date : 03/11/2011

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