Individual
SANGJIN LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
311 BAY AVE STE 102, GLEN RIDGE, NJ 07028-1621
(973) 798-4777
(973) 680-7857
Mailing address
311 BAY AVE STE 102, GLEN RIDGE, NJ 07028-1621
(973) 798-4777
(973) 680-7857
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
25MB11870000
NJ
207Q00000X
Family Medicine Physician
286764
NY
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
25MB11870000
NJ
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
286764
NY
Other
Enumeration date
06/10/2014
Last updated
05/04/2026
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