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NPI Code Detail

MEDICARE: GREGORY T LANG M.D.

MEDICARE: GREGORY T LANG M.D.
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
1207Q00000XFamily Medicine Physician67709GA

General Provider Information

NPI Number : 1487620951
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY T LANG M.D.
Provider Business Mailing Address
First Line : 1180 NEWFIELD AVE
Second Line :
City : STAMFORD
State : CT
Zip : 06905-1409
Country : US
Telephone Number : 314-888-5233
Fax Number :
Provider Business Practice Location Address
First Line : 207 HOLIDAY RD
Second Line :
City : MC CORMICK
State : SC
Zip : 29835-3430
Country : US
Telephone Number : 864-391-5011
Fax Number : 864-391-5012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2006
Last Update Date : 08/16/2023

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