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Individual

DR. SCOTT JIT-MENG LIM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3243 W 26TH ST, ERIE, PA 16506-2507
(814) 836-1300
(814) 836-1346
Mailing address
3243 W 26TH ST, ERIE, PA 16506-2507
(814) 836-1300
(814) 836-1346

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
OS006153L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07003058
RAILROAD MEDICARE PROV ID
PA
05
1011067500001
PA
01
1500347
GATEWAY MA PROV ID
PA
01
412984
HIGHMARK BLUE SHIELD ID
PA
Enumeration date
02/16/2006
Last updated
07/09/2007
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