Derek Lim, DO | |
155 Morris Ave Ste 204, Springfield, NJ 07081-1224 | |
(973) 232-2300 | |
(973) 232-2301 |
Full Name | Derek Lim |
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Gender | Male |
Speciality | Surgery |
Location | 155 Morris Ave Ste 204, Springfield, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033567383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 25MB11464100 (New Jersey) | Primary |
Entity Name | Practice Associates Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
Mailing Address | Practice Location Address |
---|---|
Derek Lim, DO Po Box 416457, Boston, MA 02241-6457 Ph: (844) 362-1735 | Derek Lim, DO 155 Morris Ave Ste 204, Springfield, NJ 07081-1224 Ph: (973) 232-2300 |
Mr. Ronald D Pallant, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 155 Morris Ave, Second Floor, Springfield, NJ 07081 Phone: 973-232-2300 Fax: 973-232-2311 | |
Dr. Michael D Addis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 649 Morris Ave, Springfield, NJ 07081 Phone: 973-379-7920 Fax: 973-379-7921 | |
Dr. Malcolm Guy Coblentz, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 55 Morris Ave, Suite 304, Springfield, NJ 07081 Phone: 973-486-0108 Fax: 973-762-5151 | |
Dr. Muhammad S Feteiha, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 155 Morris Ave, 2nd Floor, Springfield, NJ 07081 Phone: 973-232-2300 Fax: 973-232-2301 | |
Dr. Angela Jack Glasnapp, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 355 Us Highway 22 E, Springfield, NJ 07081 Phone: 516-616-5500 Fax: 888-502-6582 | |
Dr. James P Buwen, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 193 Morris Ave, 2nd Floor, New Jersey Bariatric Center, Springfield, NJ 07081 Phone: 908-481-1270 |