Provider Demographics
NPI:1235112533
Name:LIM, JOSEPH KAR-TAIK (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:KAR-TAIK
Last Name:LIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 CEDAR ST # 1080
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06510-3206
Mailing Address - Country:US
Mailing Address - Phone:203-737-6063
Mailing Address - Fax:203-785-7273
Practice Address - Street 1:333 CEDAR STREET, LMP 1080
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06520-8019
Practice Address - Country:US
Practice Address - Phone:203-737-6063
Practice Address - Fax:203-785-7273
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT043538207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT100000410Medicare ID - Type Unspecified
T40883Medicare UPIN