Provider Demographics
NPI:1013335751
Name:LIM, GEOFFREY FUNG-SOON (MD)
Entity type:Individual
Prefix:DR
First Name:GEOFFREY
Middle Name:FUNG-SOON
Last Name:LIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5200 CENTRE AVE STE 303
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1312
Mailing Address - Country:US
Mailing Address - Phone:412-681-9400
Mailing Address - Fax:412-460-0322
Practice Address - Street 1:5200 CENTRE AVE STE 303
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1312
Practice Address - Country:US
Practice Address - Phone:412-681-9400
Practice Address - Fax:412-460-0322
Is Sole Proprietor?:No
Enumeration Date:2014-03-31
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0062048207N00000X, 207ND0101X
PAMD463811207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology