Individual
DR. STACEY M LANGSAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
538 LITCHFIELD ST, TORRINGTON, CT 06790-6669
(860) 489-5068
(860) 489-3725
Mailing address
538 LITCHFIELD ST, TORRINGTON, CT 06790-6669
(860) 489-5068
(860) 489-3725
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2447351
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049221
STATE LICENSE
CT
01
—
244735
MEDICAL LICENSE NUMBER
NY
Enumeration date
10/04/2007
Last updated
07/05/2011
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