MEDICARE: NICHOLAS LANGAN 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	207RC0000X	Cardiovascular Disease Physician	MD043363E	PA

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	:	1316998438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICHOLAS LANGAN MD

Provider Business Mailing Address
First Line	:	101 EAST OLNEY AVE
Second Line	:	STE 505
City	:	PHILADELPHIA
State	:	PA
Zip	:	19120
Country	:	US
Telephone Number	:	215-456-7000
Fax Number	:	215-254-2599

Provider Business Practice Location Address
First Line	:	1 PENN BLVD
Second Line	:	TOWER BUILDING 2ND FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-1476
Country	:	US
Telephone Number	:	215-951-8933
Fax Number	:	215-951-8930

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

Provider Enumeration Date	:	05/13/2006
Last Update Date	:	10/10/2014

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Directions to “ NICHOLAS LANGAN MD” Practice Location

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