Lin, Tatiana

Lin, Tatiana is an individual health care provider with primary practice located at 20-20 Fair Lawn Avenue , Fair Lawn NJ 07410. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lin, Tatiana can be contacted via phone (201) 791-4545.

Contact Information

Primary practice address
20-20 Fair Lawn Avenue Fair Lawn NJ 07410
Fax: (201) 791-3265
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA07804400 New Jersey

Profile Details

NPI number 1972530855
LBN Legal business name Lin, Tatiana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jul 9th, 2007 - about 17 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 1972530855 NPPES
New Jersey MEDICAID 5222206

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