Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MA07387400 | NJ |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 25MA07387400 | NJ |
NPI | 1558333476 |
---|---|
Provider Name | David Lin |
First Address | Cedar Knolls, NJ 07927-2109 |
Second Address | Cedar Knolls, NJ 07927-2109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2006 |
Last Update Date | 06/09/2019 |