| Doctor Name: | DR. MANUEL T. LIM |
| NPI Number: | 1679513576 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD038926L |
| Business Practice Address: | 1440 Conchester Hwy Suite 5a Boothwyn, PA - 190612124 |
| Business Phone Number: | 6104593722 |
| Business Fax Number: | 6104594730 |
| Mailing Address: | 1440 Conchester Hwy, Suite 5a BOOTHWYN |
| State: | PA |
| Postal Code: | 190612124 |
| Phone Number: | 6104593722 |
| Fax Number: | 6104594730 |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | MD038926L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |