Individual
TATIANA LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20-20 FAIR LAWN AVENUE, FAIR LAWN, NJ 07410
(201) 791-4545
(201) 791-3265
Mailing address
20-20 FAIR LAWN AVENUE, FAIR LAWN, NJ 07410
(201) 791-4545
(201) 791-3265
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07804400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5222206
—
NJ
Enumeration date
06/27/2006
Last updated
07/09/2007
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