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Individual

IAN CHRISTOPHER LIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
33 MARDOR AVE, HAMMONTON, NJ 08037-1968
(609) 481-5915
Mailing address
33 MARDOR AVE, HAMMONTON, NJ 08037-1968
(609) 481-5915

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
26NR14876900
NJ
363L00000X
Nurse Practitioner
Primary
26NJ01306900
NJ

Other

Enumeration date
04/19/2021
Last updated
11/23/2022
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