Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theodore Lin

Individual provider Surgery Physician · NPI 1962031963

Theodore Lin is a General Surgery in Philadelphia, Pennsylvania. Graduated from University of Arizona College of Medicine in 2020, 6 years ago. Licensed in Pennsylvania.

Years since qualifying
6
Trained at
University of Arizona College of Medicine
Licensed in
PA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3400 Spruce St
Philadelphia, PA 19104-4238
Phone: (215) 662-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD495152 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962031963
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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