Provider Demographics
NPI:1427366673
Name:TAN, DEBBIE LIM (MD)
Entity type:Individual
Prefix:DR
First Name:DEBBIE
Middle Name:LIM
Last Name:TAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:905 UNION ST STE 9
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-3039
Mailing Address - Country:US
Mailing Address - Phone:207-973-8998
Mailing Address - Fax:207-973-7391
Practice Address - Street 1:3471 5TH AVE STE 910
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3221
Practice Address - Country:US
Practice Address - Phone:412-784-4479
Practice Address - Fax:412-784-5148
Is Sole Proprietor?:No
Enumeration Date:2010-09-22
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD467850208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD467850OtherMEDICAL LICENSE