Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 260330 | MA |
NPI | 1043404593 |
---|---|
Provider Name | Ming Lin |
First Address | Burlington, MA 01805-0001 |
Second Address | Burlington, MA 01805 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2007 |
Last Update Date | 12/09/2019 |