Organization
EDWARD S LIM, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD S LIM MD (OWNER)
(203) 643-0270
Entity
Organization
Contact information
Practice address
144 N MAIN ST, BRANFORD, CT 06405-3044
(203) 643-0270
(203) 488-1104
Mailing address
144 N MAIN ST, BRANFORD, CT 06405-3044
(203) 643-0270
(203) 488-1104
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180034796
MC
CT
01
—
D100000268
MEDICARE PTAN
CT
Enumeration date
06/11/2009
Last updated
01/27/2010
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