Individual
PETER LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01107-1619
(413) 795-0754
(413) 794-5439
Mailing address
153 NEEDLETREE LN, GLASTONBURY, CT 06033-3528
(302) 723-3906
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
12.009428
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
RN10016487
MA
Other
Enumeration date
11/10/2020
Last updated
04/13/2026
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