Individual
MAILI FRANCES LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Mailing address
230 N 23RD ST APT 224, PHILADELPHIA, PA 19103-1274
(949) 615-2391
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MT232549
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
STUDENT
—
Enumeration date
03/28/2019
Last updated
11/21/2024
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