Individual
DR. ANGELA E LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT STREET, WRN 801 GENETICS & TERATOLOGY, BOSTON, MA 02114-2696
(617) 726-1742
(617) 724-1911
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-1561
(617) 726-1566
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
72236
MA
208000000X
Pediatrics Physician
72236
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
072236
TUFTS HEALTH PLAN
MA
05
—
3077691
—
MA
01
—
J10829
BCBS MA
MA
Enumeration date
11/15/2005
Last updated
11/15/2012
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