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Individual

DR. JENNY ZHANG LIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4701 RANDOLPH RD, SUITE 102, ROCKVILLE, MD 20852-2257
(310) 881-6651
(301) 881-6653
Mailing address
4701 RANDOLPH RD, SUITE 102, ROCKVILLE, MD 20852-2257
(310) 881-6651
(301) 881-6653

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D0059485
MD
2084N0600X
Clinical Neurophysiology Physician
D0059485
MD
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
D0059485
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0501922
UNITED HEALTH
MD
01
101802
JOHNS HOPKINS HEALTH CARE
MD
01
194195
AMERIGROUP MEDICAID
MD
01
2278423
CCN
MD
01
2747888
CIGNA
MD
01
3640877
AETNA HMO
MD
05
403868100
MD
01
4100334
MAMSI
MD
01
620189-01
BC/BS MARYLAND
MD
01
669114
NCPPO
MD
01
7691425
AETNA-PPO
MD
01
K143-0001
BC/BS DC AND FEDERAL
MD
Enumeration date
10/21/2005
Last updated
11/22/2011
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