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Individual
PETER LANG
Active
Individual
PETER LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
42489
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2062313
—
MA
01
—
30001165
MEDICAID NH
NH
05
—
683005
—
NY
01
—
7500162
UNITED HEALTHCARE MA
MA
01
—
99277901
NETWORK HEALTH
MA
01
—
AA9223
HARVARD PILGRIM
MA
01
—
B20232601
CIGNA MA
MA
01
—
M09798
BCBS MA
MA
05
—
PL25420
—
RI
Enumeration date
11/02/2005
Last updated
02/19/2010
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