Individual
DR. BRADFORD J LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1648 HUNTINGDON PIKE, MEADOWBROOK, PA 19046-8001
(215) 938-2749
(215) 938-3829
Mailing address
12265 TOWNSEND RD, PHILADELPHIA, PA 19154-1201
(215) 856-1010
(215) 698-3730
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD037395E
PA
207RI0011X
Interventional Cardiology Physician
Primary
MD-037395-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007278000
MEDICAID TPI GROUP
PA
05
—
14637960101
—
PA
01
—
597586
MEDICARE TPI GROUP
PA
01
—
CD4829
RAILROAD MEDICARE TPI GROUP
PA
Enumeration date
05/05/2006
Last updated
01/08/2016
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