Individual
CHARLES LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
601 N CAROLINE ST, SUITE 5214, BALTIMORE, MD 21287-0006
(410) 955-1830
Mailing address
601 N CAROLINE ST, SUITE 5214, BALTIMORE, MD 21287-0006
(917) 705-3034
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00335400
NJ
363A00000X
Physician Assistant
Primary
C05403
MD
363A00000X
Physician Assistant
MA056843
PA
Other
Enumeration date
05/13/2014
Last updated
12/17/2014
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