Provider Demographics
NPI:1750399374
Name:LIN, CHIEN H (MD)
Entity type:Individual
Prefix:DR
First Name:CHIEN
Middle Name:H
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PRESIDENTS PLACE -SOUTH TOWER 1250 HANCOCK STREET
Mailing Address - Street 2:HARVARD VANGUARD MEDICAL ASSOCIATES
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-4330
Mailing Address - Country:US
Mailing Address - Phone:617-774-0840
Mailing Address - Fax:617-774-0882
Practice Address - Street 1:1250 HANCOCK ST
Practice Address - Street 2:HVMA PRESIDENT'S PLACE-SOUTH TOWER
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-4339
Practice Address - Country:US
Practice Address - Phone:617-774-0840
Practice Address - Fax:617-774-0882
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA230883207R00000X
NYNY222003207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000064101Medicaid
NY02398103Medicaid
MA2133873Medicare PIN
NY096AG1Medicare ID - Type Unspecified
NY02398103Medicaid