=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093953044
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JOSEPH C. LIN, M.D. LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/29/2009
-----------------------------------------------------
Last Update Date | 05/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8903 HARFORD RD
-----------------------------------------------------
City | BALTIMORE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21234-4111
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-661-9133
-----------------------------------------------------
Fax | 410-661-9134
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17 LAURELFORD CT
-----------------------------------------------------
City | COCKEYSVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21030-2236
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-661-9133
-----------------------------------------------------
Fax | 410-661-9134
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | M.D.
-----------------------------------------------------
Name | DR. JOSEPH C LIN
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 410-661-9133
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RG0100X
-----------------------------------------------------
Taxonomy Name | Gastroenterology Physician
-----------------------------------------------------
License Number | D27670
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------