Individual
CARLY JANE LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
679 FOREST AVE, TEANECK, NJ 07666-2042
(201) 755-9232
Mailing address
679 FOREST AVE, TEANECK, NJ 07666-2042
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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