Provider Demographics
NPI:1417950528
Name:LIN, NORA J (MD)
Entity Type:Individual
Prefix:
First Name:NORA
Middle Name:J
Last Name:LIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:470 SENTRY PKWY E
Mailing Address - Street 2:STE 200
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-2324
Mailing Address - Country:US
Mailing Address - Phone:610-825-5800
Mailing Address - Fax:610-397-0980
Practice Address - Street 1:470 SENTRY PKWY E
Practice Address - Street 2:STE 200
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-2324
Practice Address - Country:US
Practice Address - Phone:610-825-5800
Practice Address - Fax:610-397-0980
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD073640L207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH57321Medicare UPIN
PA084534Medicare ID - Type Unspecified