Provider Demographics
NPI:1285636654
Name:CHEN, LIN (MD)
Entity Type:Individual
Prefix:DR
First Name:LIN
Middle Name:
Last Name:CHEN
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 1:330 MOUNT AUBURN ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-5502
Mailing Address - Country:US
Mailing Address - Phone:617-499-5026
Mailing Address - Fax:617-499-5453
Practice Address - Street 1:330 MOUNT AUBURN ST
Practice Address - Street 2:SOUTH 2
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-5502
Practice Address - Country:US
Practice Address - Phone:617-499-5026
Practice Address - Fax:617-499-5453
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA70802207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3047555Medicaid
MA3047555Medicaid
MAJ08766Medicare ID - Type Unspecified