Doctor Name: | MERCEDES LIM ANG |
NPI Number: | 1033341813 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MT194315 |
Business Practice Address: | 893 Main St East Machias, ME - 046304051 |
Business Phone Number: | 2072550102 |
Business Fax Number: | 2072554645 |
Mailing Address: | 43 S Lubec Rd, LUBEC |
State: | ME |
Postal Code: | 046523620 |
Phone Number: | 2077331090 |
Fax Number: | 2077334767 |
NPI Enumeration Date: | 08/13/2009 |
NPI Last Update Date: | 01/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | MT194315 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |