Provider Demographics
NPI:1518927474
Name:LIN, GEORGE S
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:S
Last Name:LIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:466 OLD HOOK RD
Mailing Address - Street 2:SUITE 26
Mailing Address - City:EMERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07630-1396
Mailing Address - Country:US
Mailing Address - Phone:201-261-0821
Mailing Address - Fax:201-261-0823
Practice Address - Street 1:466 OLD HOOK RD
Practice Address - Street 2:SUITE 26
Practice Address - City:EMERSON
Practice Address - State:NJ
Practice Address - Zip Code:07630-1396
Practice Address - Country:US
Practice Address - Phone:201-261-0821
Practice Address - Fax:201-261-0823
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA066171207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2K1811OtherHEALTHNET SPEC PIN #
NJ7V3721OtherEMPIRE BCBS SPEC. PIN #
NJ2949137OtherAETNA HMO SPEC PIN #
NJ7527381OtherAETNA SPECIALIST PIN #
NJ0013854Medicaid
NJ6973856OtherCIGNA SPEC PIN #
NJP2666693OtherOXFORD SPECIALIST PIN #
NH294136OtherAETNA HMO PRIMARY PIN #
NH294136OtherAETNA HMO PRIMARY PIN #
NJP2666693OtherOXFORD SPECIALIST PIN #