Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 25MA09817100 | NJ |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 25MA09817100 | NJ |
NPI | 1013234012 |
---|---|
Provider Name | Edward Alan Lin |
First Address | Franklin Lakes, NJ 07417-1306 |
Second Address | Franklin Lakes, NJ 07417-1306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2010 |
Last Update Date | 05/01/2022 |