MEDICARE: CHARLENE SIMIN LIN

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	163WC0400X	Case Management Registered Nurse	RN2337818	MA

General Provider Information

NPI Number	:	1154261931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLENE SIMIN LIN

Provider Business Mailing Address
First Line	:	130 CHESTNUT HILL AVE
Second Line	:
City	:	BRIGHTON
State	:	MA
Zip	:	02135-4731
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 CHESTNUT HILL AVE
Second Line	:
City	:	BRIGHTON
State	:	MA
Zip	:	02135-4731
Country	:	US
Telephone Number	:	857-299-0371
Fax Number	:

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

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

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Directions to “ CHARLENE SIMIN LIN ” Practice Location

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