Individual
JAI-NAN LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 488-0066
(201) 488-6769
Mailing address
PO BOX 18914, NEWARK, NJ 07191-8914
(201) 488-0066
(201) 488-6769
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA03062200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01594361
—
NY
01
—
050057784
RAILROAD MEDICARE
—
01
—
1058879
HORIZON MERCY
NJ
05
—
1439502
—
NJ
01
—
41588
AMERIGROUP
NJ
Enumeration date
11/22/2005
Last updated
05/21/2008
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