Healthcare Provider Details

I. General information

NPI: 1093953044
Provider Name (Legal Business Name): JOSEPH C. LIN, M.D. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2009
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8903 HARFORD RD
BALTIMORE MD
21234-4111
US

IV. Provider business mailing address

17 LAURELFORD CT
COCKEYSVILLE MD
21030-2236
US

V. Phone/Fax

Practice location:
  • Phone: 410-661-9133
  • Fax: 410-661-9134
Mailing address:
  • Phone: 410-661-9133
  • Fax: 410-661-9134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberD27670
License Number StateMD

VIII. Authorized Official

Name: DR. JOSEPH C LIN
Title or Position: M.D.
Credential: M.D.
Phone: 410-661-9133