Individual provider · Type 1 NPI

Jaedt Weilth Gabor Lim, MD

Student in an Organized Health Care Education/Training Program · Cooperstown, NY

NPI number 1508748179 Active

Practice location

1 Atwell Rd
Cooperstown, NY 13326-1394

Call (607) 547-3456 Map

Mailing address

10 Fernleigh Dr Apt B9
Cooperstown, NY 13326-1323

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1508748179

Jaedt Weilth Gabor Lim, MD's National Provider Identifier is 1508748179, issued on Jul 23, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cooperstown, NY. The record was last updated on Jul 23, 2025.