Individual
DR. EDMON WANG LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MOUNT VERNON HOSPITAL, 2501 PARKERS LANE, ALEXANDRIA, VA 22306
(703) 855-6889
Mailing address
4614 HOLLY AVE, FAIRFAX, VA 22030-5627
(703) 385-1813
(703) 385-4505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101035379
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5806461
—
VA
Enumeration date
11/15/2006
Last updated
08/12/2013
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