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Individual

ING LONG LIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
495 LAKEHURST RD, TOMS RIVER, NJ 08755-8042
(732) 240-2299
Mailing address
495 LAKEHURST RD, TOMS RIVER, NJ 08755-8042
(732) 240-2299

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA02994000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
112927079
RAILROAD MEDICARE
NJ
05
2061601
NJ
Enumeration date
12/14/2007
Last updated
12/14/2007
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