Individual
INAE LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 LEMOINE AVE STE 203, FORT LEE, NJ 07024-5636
(201) 944-8400
Mailing address
1608 LEMOINE AVE STE 203, FORT LEE, NJ 07024-5636
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00995600
NJ
Other
Enumeration date
12/09/2019
Last updated
04/02/2020
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