Provider Demographics
NPI:1366437584
Name:LIN, DENIS Y (MD)
Entity type:Individual
Prefix:
First Name:DENIS
Middle Name:Y
Last Name:LIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 MALL RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01805-0001
Mailing Address - Country:US
Mailing Address - Phone:781-744-8000
Mailing Address - Fax:
Practice Address - Street 1:41 MALL RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01805-0001
Practice Address - Country:US
Practice Address - Phone:781-744-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA150810207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA150810OtherTUFTS
MA23588OtherHARVARD PILGRIM
MA2870696OtherAETNA
MA3205207Medicaid
MA985166OtherNETWORK HEALTH
MAPI12041176OtherMULTIPLAN
NY02075336Medicaid
MAS400151128OtherMEDICARE PTAN
MA51117OtherFALLON
MAJ22453OtherBCBS
MA0020411OtherNEIGHBORHOOD HEALTH PLAN
MA985166OtherNETWORK HEALTH
MA51117OtherFALLON