Individual
DR. PING JIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, DEPARTMENT OF ANESTHESIA AND CRITICAL CARE, BOSTON, MA 02114-2621
(617) 726-3855
Mailing address
23 AQUEDUCT RD, WAYLAND, MA 01778-4617
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
231083
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
231083
MA
208VP0014X
Interventional Pain Medicine Physician
231083
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2140624
—
MA
05
—
30207017
—
NH
05
—
PJ67878
—
RI
Enumeration date
05/10/2007
Last updated
12/12/2007
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