Individual
THEODORE LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Mailing address
1500 LOCUST ST APT 1816, PHILADELPHIA, PA 19102-4316
(215) 662-4000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
77801
AZ
208600000X
Surgery Physician
Primary
MD495152
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2020
Last updated
06/23/2026
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