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Individual

CHENG LIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
176 PALISADE AVE, JERSEY CITY, NJ 07306-1121
(201) 945-2481
(201) 943-8105
Mailing address
PO BOX 51045, NEWARK, NJ 07101-5145
(201) 945-2481
(201) 943-8105

Taxonomy

Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
25MA02990200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0274003
NJ
Enumeration date
12/29/2005
Last updated
07/09/2007
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