MEDICARE: DR. LINDA J. LANG 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
1	2084P0800X	Psychiatry Physician	MA70668	NJ

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	:	1275504748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LINDA J. LANG MD

Provider Business Mailing Address
First Line	:	3100 HWY 138
Second Line	:	SUITE E
City	:	WALL TOWNSHIP
State	:	NJ
Zip	:	07719-9020
Country	:	US
Telephone Number	:	732-280-9600
Fax Number	:	732-280-9601

Provider Business Practice Location Address
First Line	:	3100 HWY 138
Second Line	:	SUITE E
City	:	WALL TOWNSHIP
State	:	NJ
Zip	:	07719-9020
Country	:	US
Telephone Number	:	732-280-9600
Fax Number	:	732-280-9601

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

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	05/21/2008

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