Individual
MARY JANE LIM FAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
450 BROOKLINE AVE DEPT DANA2, BOSTON, MA 02215-5418
(857) 472-3898
Mailing address
1282 BOYLSTON ST UNIT 230, BOSTON, MA 02215-4453
(857) 472-3898
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
275067
MA
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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