Provider Demographics
NPI:1013285063
Name:LIN ZHOU, MD PC
Entity Type:Organization
Organization Name:LIN ZHOU, MD PC
Other - Org Name:PROFESSIONAL PAIN ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINQIU
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHOU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-845-0707
Mailing Address - Street 1:730 N BROAD ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-1796
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:730 N BROAD ST
Practice Address - Street 2:SUITE 205
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-1796
Practice Address - Country:US
Practice Address - Phone:856-845-0707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07777400208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty