Individual
JESSICA L. FALVO LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6724 WALES AVE NW, SUITE A, MASSILLON, OH 44646-9006
(330) 837-4264
(330) 837-9195
Mailing address
6724 WALES AVE NW, SUITE A, MASSILLON, OH 44646-9006
(330) 837-4264
(330) 837-9195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35076160F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080191869
RAILROAD MEDICARE
OH
05
—
2264562
—
OH
Enumeration date
12/14/2005
Last updated
02/03/2011
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