Lim, Sungtae

Lim, Sungtae is an individual health care provider with primary practice located at 210 Ark Rd , Mount Laurel NJ 08054-3188. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Lim, Sungtae can be contacted via phone (856) 778-8860.

Contact Information

Primary practice address
210 Ark Rd Mount Laurel NJ 08054-3188
Phone: (856) 778-8860
Fax: (609) 261-4180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 25MA07068100 New Jersey
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA07068100 New Jersey

Profile Details

NPI number 1184626582
LBN Legal business name Lim, Sungtae
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Feb 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184626582 NPPES
New Jersey MEDICAID 8238201

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