Theodore Lin
Surgery in Philadelphia, PA. Individual provider (NPI-1).
NPI number1962031963
StatusActive
Last updated in NPPESJun 23, 2026
Details
- NPI
- 1962031963
- Entity type
- Individual (NPI-1)
- Name
- Theodore Lin
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2020
- Certification date
- Jun 23, 2026
- Last updated
- Jun 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | MD495152 | PA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3400 Spruce StPhiladelphia, PA 19104-4238
Phone 215-662-4000
Mailing address
1500 Locust St Apt 1816Philadelphia, PA 19102-4316
Phone 215-662-4000
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