Individual
JILL E LANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, GROUND FLOOR DULLES, PHILADELPHIA, PA 19104
(215) 662-7012
(215) 349-5627
Mailing address
3400 SPRUCE STREET, GROUND FLOOR DULLES, PHILADELPHIA, PA 19104
(215) 662-7012
(215) 349-5627
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD040110E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012319150001
—
PA
Enumeration date
06/29/2006
Last updated
05/08/2012
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