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Individual

DR. JACOB C LANGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
730 WELCH RD, PALO ALTO, CA 94304-1503
(650) 724-5356
Mailing address
77 WEMBLEY RD, TORONTO, ONTARIO M6C2G-3
(416) 813-7340
(416) 813-7477

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
35.134003
OH
2086S0120X
Pediatric Surgery Physician
Primary
C133908
CA
2086S0120X
Pediatric Surgery Physician
MD101895
MO
208C00000X
Colon & Rectal Surgery Physician
35.134003
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0388604
OH
01
H707190
CGS - MEDICARE
OH
Enumeration date
02/01/2016
Last updated
09/25/2024
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