Individual
CHARLES LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 CANTON AVE, BALTIMORE, MD 21229
(410) 368-3045
(410) 951-4009
Mailing address
66 POWERHOUSE RD, 3RD FLOOR, ROSLYN HEIGHTS, NY 11577-1324
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0063996
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41012190
—
MD
01
—
454MN960
TRAILBLAZER
MD
Enumeration date
05/31/2006
Last updated
07/08/2007
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