Individual
ELAINA E. LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
34TH STREET AND CIVIC CENTER BLVD, SUITE 9329, PHILADELPHIA, PA 19104-4399
(215) 590-1858
(215) 590-1415
Mailing address
100 EAST PENN SQUARE, THE WANAMAKER BUILDING, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9300
(267) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD439603
PA
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD439603
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026289190001
—
PA
01
—
227069EJL
MEDICARE PTAN
PA
Enumeration date
02/08/2007
Last updated
10/30/2024
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