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Individual

JEROD LIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
29 N PAYNE ST, QUINCY, MA 02169-7812
(617) 645-8572
Mailing address
29 N PAYNE ST, QUINCY, MA 02169-7812

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2390100
MA
363L00000X
Nurse Practitioner
Primary
RN2390100
MA

Other

Enumeration date
06/03/2026
Last updated
06/18/2026
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