MEDICARE: MR. MICHAEL S LANGER ACA, HIS

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	237700000X	Hearing Instrument Specialist	HAS-0752	SC

General Provider Information

NPI Number	:	1760962971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL S LANGER ACA, HIS

Provider Business Mailing Address
First Line	:	2501 COTTONTAIL LN
Second Line	:
City	:	SOMERSET
State	:	NJ
Zip	:	08873-5125
Country	:	US
Telephone Number	:	732-529-7120
Fax Number	:	732-960-6181

Provider Business Practice Location Address
First Line	:	13313 OCEAN HWY UNIT 2
Second Line	:
City	:	PAWLEYS ISLAND
State	:	SC
Zip	:	29585-8544
Country	:	US
Telephone Number	:	843-979-3888
Fax Number	:	843-979-3886

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

Provider Enumeration Date	:	08/16/2018
Last Update Date	:	06/18/2024

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