DR. ANGELA E LIN MD NPI 1770565855

NPI Information

NPI: 1770565855
Provider Name: DR. ANGELA E LIN, MD
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

PECOS Registration: Yes

Address:
55 FRUIT STREET
WRN 801 GENETICS & TERATOLOGY
BOSTON, MA
ZIP 02114
Phone: (617) 726-1742
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DR. Angela E Lin, MD is a clinical genetics (m.d.) medical genetics in Boston, MA with 44 years of experience. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. DR. Angela E Lin, MD NPI is 1770565855. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:1980

The provider's business location address is:

55 FRUIT STREET
WRN 801 GENETICS & TERATOLOGY
BOSTON, MA
ZIP 02114-696
Phone: (617) 726-1742
Fax: (617) 724-1911

The NPI 1770565855 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/15/2005 and was last updated on 11/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		72236	MASSACHUSETTS	No
2	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	72236	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	J10829	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
2	J10829	OTHER	MASSACHUSETTS	BCBS MA
3	E75422	MEDICARE UPIN
4	3077691	MEDICAID	MASSACHUSETTS
5	072236	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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