Provider Demographics
NPI:1114019148
Name:LIN, HAN-TING (MD)
Entity Type:Individual
Prefix:
First Name:HAN-TING
Middle Name:
Last Name:LIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 STILES RD STE 2400
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-3037
Mailing Address - Country:US
Mailing Address - Phone:603-890-2750
Mailing Address - Fax:603-890-2752
Practice Address - Street 1:31 STILES RD STE 2400
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-3037
Practice Address - Country:US
Practice Address - Phone:603-890-2750
Practice Address - Fax:603-890-2752
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA159178207RH0000X, 207RH0003X
NH10954207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0030024OtherNEIGHBORHOOD HEALTH
MA154503OtherHARVARD PILGRIM
MAJ26261OtherBLUE CROSS BLUE SHIELD
MA2018624Medicaid
MA159178OtherTUFTS
MA2018624Medicaid
MAJ26261OtherBLUE CROSS BLUE SHIELD