Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 248412 | MA |
N | 207ND0900X | Dermatopathologist | 248412 | MA |
NPI | 1619255502 |
---|---|
Provider Name | William M. Lin |
First Address | Boston, MA 02114-2621 |
Second Address | Boston, MA 02114-2517 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2011 |
Last Update Date | 13/04/2016 |