Lin, Angela E

Lin, Angela E is an individual health care provider with primary practice located at 55 Fruit Street Wrn 801 Genetics & Teratology, Boston MA 02114-2696. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Lin, Angela E can be contacted via phone (617) 726-1742.

Contact Information

Primary practice address
55 Fruit Street Wrn 801 Genetics & Teratology Boston MA 02114-2696
Phone: (617) 726-1742
Fax: (617) 724-1911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 72236 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 72236 Massachusetts

Profile Details

NPI number 1770565855
LBN Legal business name Lin, Angela E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Nov 15th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770565855 NPPES
Massachusetts Other 072236 TUFTS HEALTH PLAN
Massachusetts Other J10829 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3077691 TUFTS HEALTH PLAN

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