Organization
DOCTOR'S MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FIDEL LOSA LIM JR. M.D. (OWNER)
(201) 200-2626
Entity
Organization
Contact information
Practice address
119 OCEAN AVE, JERSEY CITY, NJ 07305-2500
(201) 200-2626
Mailing address
119 OCEAN AVE, JERSEY CITY, NJ 07305-2500
(201) 200-2626
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04954300
NJ
Other
Enumeration date
02/07/2007
Last updated
10/24/2007
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