Healthcare Provider Details

I. General information

NPI: 1376031534
Provider Name (Legal Business Name): ALEX MENG-HSIANG LIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2018
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 VFW PKWY # 1C117
WEST ROXBURY MA
02132-4927
US

IV. Provider business mailing address

1400 VFW PKWY # 1C117
WEST ROXBURY MA
02132-4927
US

V. Phone/Fax

Practice location:
  • Phone: 774-826-4620
  • Fax:
Mailing address:
  • Phone: 774-826-4620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number1016475
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number1016475
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: