Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 25MB09754100 | NJ |
NPI | 1003254145 |
---|---|
Provider Name | Frank Lien |
First Address | Boston, MA 02241-9430 |
Second Address | Closter, NJ 07624-2100 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2013 |
Last Update Date | 17/12/2021 |