Provider Demographics
NPI:1669559100
Name:LIM, MARK DELON B (MD)
Entity type:Individual
Prefix:DR
First Name:MARK DELON
Middle Name:B
Last Name:LIM
Suffix:
Gender:
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:235 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-2411
Mailing Address - Country:US
Mailing Address - Phone:207-283-7660
Mailing Address - Fax:207-283-7664
Practice Address - Street 1:235 MAIN ST
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-2411
Practice Address - Country:US
Practice Address - Phone:207-283-7660
Practice Address - Fax:207-283-7664
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD17264207QA0401X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine