Provider Demographics
NPI:1982645925
Name:LIN, GERALD H (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:H
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7500 GREENWAY CENTER DR
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3502
Mailing Address - Country:US
Mailing Address - Phone:301-477-2000
Mailing Address - Fax:301-474-2389
Practice Address - Street 1:7500 GREENWAY CENTER DR
Practice Address - Street 2:8TH FLOOR
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3502
Practice Address - Country:US
Practice Address - Phone:301-477-2000
Practice Address - Fax:301-474-2389
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
MDD0021043208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
4053195OtherAETNA PPO
MDM23337OtherCDS
432105237OtherBRAVO HEALTH
1901969OtherUNITED HEALTHCARE AMERICHOICE
35400802OtherBCBS MD
57620007OtherBCBS DC
P00459791OtherRAILROAD MEDICARE
1467383OtherAETNA HMO
1467383OtherAETNA HMO
C62846Medicare UPIN
G02425M07Medicare PIN