| NPI | 1063486876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT JIT-MENG LIM Owner/Manager 814-836-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PA OS006153L) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2020-08-22 |