Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 25MA07810500 | NJ |
NPI | 1124116371 |
---|---|
Provider Name | Dr. Cheri Lin |
First Address | Cedar Grove, NJ 07009-1351 |
Second Address | River Edge, NJ 07661-1930 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 14/10/2021 |