Individual
MS. RENEE M LANGSTAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401 YOUNG AVE STE 275, MOORESTOWN, NJ 08057-3141
(856) 291-8855
(856) 291-8844
Mailing address
200 TRENTON RD, BROWNS MILLS, NJ 08015-1705
(609) 893-6611
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00039600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026097
—
NJ
Enumeration date
04/11/2006
Last updated
04/03/2019
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