# EDWARD S LIM, MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770710220
- **Authorized official:** EDWARD S LIM MD (OWNER)
- **Authorized official phone:** (203) 643-0270

## Contact information

- **Practice address:** 144 N MAIN ST, BRANFORD, CT 06405-3044
- **Practice address phone:** (203) 643-0270
- **Practice address fax:** (203) 488-1104
- **Mailing address:** 144 N MAIN ST, BRANFORD, CT 06405-3044
- **Mailing address phone:** (203) 643-0270
- **Mailing address fax:** (203) 488-1104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2009
- **Last updated:** 01/27/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 180034796 | MC | CT |
| 01 | — | D100000268 | MEDICARE PTAN | CT |