Individual
MRS. DIANE LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
24 ORCHARD ST, RIDGEFIELD PARK, NJ 07660-2241
(201) 375-5647
(201) 641-4727
Mailing address
24 ORCHARD ST, RIDGEFIELD PARK, NJ 07660-2241
(201) 375-5647
(201) 641-4727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26N011712000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UNKNOWN
—
NJ
Enumeration date
11/15/2016
Last updated
11/15/2016
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