MEDICARE: JAMES C LIN M.D.

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	208800000X	Urology Physician	214166	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881696375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES C LIN M.D.

Provider Business Mailing Address
First Line	:	910 WASHINGTON ST STE 200
Second Line	:
City	:	DEDHAM
State	:	MA
Zip	:	02026-6022
Country	:	US
Telephone Number	:	781-762-0471
Fax Number	:	781-762-8072

Provider Business Practice Location Address
First Line	:	100 HIGHLAND ST STE 226
Second Line	:
City	:	MILTON
State	:	MA
Zip	:	02186-3880
Country	:	US
Telephone Number	:	855-505-3335
Fax Number	:	617-696-7380

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

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	01/16/2020

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