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Individual
JASEN LANGLEY
Active
Individual
JASEN LANGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD002717
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000709901
AMERICHOICE
NJ
01
—
2420480000
AMERIHEALTH
NJ
01
—
2K8197
HEALTHNET
NJ
05
—
9112502
—
NJ
01
—
P2810436
OXFORD
NJ
Enumeration date
04/10/2006
Last updated
12/01/2009
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