Peter Lang MD

NPI 1063403780 - Pediatrics - 208000000X

NPI Details
NPI 1063403780
Gender Male
Enumeration Date 11/02/2005
Last Updated 02/19/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
300 LONGWOOD AVE
BOSTON MA, 02115-5724, US
Phone (617) 355-2793
Fax
Business Location
PO BOX 9135
ATT:SHARON SILVA
BROOKLINE MA, 02446-9135, US
Phone (800) 927-0002
Fax
Toxanomy
Taxonomy Code 208000000X
License State Massachusetts
License Number 42489
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According to our database, Peter Lang MD NPI is 1063403780, taxonomy code is 208000000X and license number is 42489, license state is located at Massachusetts. Peter Lang MD physically located at 300 Longwood Ave, Boston MA, 02115-5724. NPI Number Peter Lang MD has the Individual type.

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1063403780 NPI number is provided on an as is basis without warranty of any kind. 1063403780 is maintained by the National Plan & Provider Enumeration System. The contents of Peter Lang MD are for informational purposes only.