Individual
THEODORE LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(445) 235-9524
Mailing address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(445) 235-9524
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MT225488
PA
207Y00000X
Otolaryngology Physician
XXXXXXXX
PA
Other
Enumeration date
04/26/2022
Last updated
06/10/2023
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