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NPI Code Detail

MEDICARE: JOHN HUGH LYNCH MD

MEDICARE:   JOHN HUGH LYNCH  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
1208800000XUrology Physician11233DC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1340018071OTHERDCMEDICARE RR

General Provider Information

NPI Number : 1396748802
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN HUGH LYNCH MD
Provider Business Mailing Address
First Line : PO BOX 418283
Second Line :
City : BOSTON
State : MA
Zip : 02241-8283
Country : US
Telephone Number : 703-558-1544
Fax Number :
Provider Business Practice Location Address
First Line : 3800 RESERVOIR RD NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20007-2113
Country : US
Telephone Number : 202-444-4922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 03/09/2012

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