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Individual

DR. MANUEL T. LIM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1440 CONCHESTER HWY, SUITE 5A, BOOTHWYN, PA 19061-2124
(610) 459-3722
(610) 459-4730
Mailing address
1440 CONCHESTER HWY, SUITE 5A, BOOTHWYN, PA 19061-2124
(610) 459-3722
(610) 459-4730

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD038926L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07806046
PA
Enumeration date
06/08/2006
Last updated
07/08/2007
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