Individual
DR. JAE YUM LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 TOWN CENTER PKWY STE 559, RESTON, VA 20190-3300
(703) 876-4270
(703) 876-4276
Mailing address
1850 TOWN CENTER PKWY STE 559, RESTON, VA 20190-3300
(703) 876-4270
(703) 876-4276
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101240401
VA
207T00000X
Neurological Surgery Physician
A060129
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6186-0001
CAREFIRST ID
—
Enumeration date
06/14/2006
Last updated
08/06/2025
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