MEDICARE: LYNNE B AHN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	212256	MA

General Provider Information

NPI Number	:	1144269143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNNE B AHN MD

Provider Business Mailing Address
First Line	:	475 FRANKLIN ST
Second Line	:	STE 110
City	:	FRAMINGHAM
State	:	MA
Zip	:	01702-6265
Country	:	US
Telephone Number	:	508-894-0400
Fax Number	:	508-894-0617

Provider Business Practice Location Address
First Line	:	475 FRANKLIN ST STE 110
Second Line	:
City	:	FRAMINGHAM
State	:	MA
Zip	:	01702-6265
Country	:	US
Telephone Number	:	508-620-9200
Fax Number	:	508-620-6483

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	01/03/2019

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