Provider Demographics
NPI:1659431179
Name:LIM, MARIA ROSELYN CUA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA ROSELYN
Middle Name:CUA
Last Name:LIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 909
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-0909
Mailing Address - Country:US
Mailing Address - Phone:215-752-2200
Mailing Address - Fax:215-750-1800
Practice Address - Street 1:240 MIDDLETOWN BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1816
Practice Address - Country:US
Practice Address - Phone:215-750-4488
Practice Address - Fax:215-396-3882
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2019-07-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD072011L2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA055498UMNMedicare ID - Type Unspecified
PAH56597Medicare UPIN