# DR. EDWARD STEPHEN LIM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1124099726
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 033710 | CT | Yes |

## Other

- **Enumeration date:** 01/31/2006
- **Last updated:** 01/27/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001337105 | — | CT |
| 01 | — | 010033710CT09 | ANTHEM | CT |
| 01 | — | 180034796 | MC | CT |
| 01 | — | D400003711 | MEDICARE PTAN | CT |