Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MA069382 | NJ |
NPI | 1033123161 |
---|---|
Provider Name | Judy Mei-Chia Lin |
First Address | Hackensack, NJ 07601 |
Second Address | Hackensack, NJ 07601-1311 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 27/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
168175 | (02) | NJ |