Individual
DR. ANDREW S. LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 EAST STREET, STE #1400, METHUEN, MA 01844
(978) 689-0869
(978) 689-3096
Mailing address
63 PARK STREET, ANDOVER, MA 01810
(978) 409-1137
(978) 409-1906
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
56104
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3010805
—
MA
01
—
56104
MASSACHUSETTS LICENSE
MA
01
—
J05574
BLUE CROSS/ BLUE SHIELD
MA
Enumeration date
11/21/2005
Last updated
03/25/2022
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