Individual
MARK LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 IRVING ST NW, #2A38, WASHINGTON, DC 20010-2976
(202) 877-0333
(202) 877-7318
Mailing address
110 IRVING ST NW, #2A38, WASHINGTON, DC 20010-2976
(202) 877-0333
(202) 877-7328
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
MD33569
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025567100
—
DC
05
—
413061800
—
MD
05
—
7118201
—
VA
Enumeration date
05/12/2006
Last updated
01/20/2010
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