Lim, James Ray Mata

Lim, James Ray Mata is an sole proprietor health care provider with primary practice located at 454 Broadway , Revere MA 02151-3034. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Lim, James Ray Mata can be contacted via phone (781) 485-8222.

Contact Information

Primary practice address
454 Broadway Revere MA 02151-3034
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1014056 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301110158 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 61012 Arizona
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 4301510879 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 1014056 Massachusetts

Profile Details

NPI number 1619329406
LBN Legal business name Lim, James Ray Mata
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2016
Last updated Jun 4th, 2024 - 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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