Individual
DR. MATTHEW DWIGHT LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER, BRONX, NY 10461
(718) 918-5696
(718) 918-4510
Mailing address
1400 PELHAM PARKWAY SOUTH, JACOBI MEDICAL CENTER, BRONX, NY 10461
(718) 918-5696
(718) 918-4510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036118423
IL
207R00000X
Internal Medicine Physician
269819-1
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036118423
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
269819-1
NY
207RP1001X
Pulmonary Disease Physician
036118423
IL
207RP1001X
Pulmonary Disease Physician
269819-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036118423
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
—
01
—
206147050
MEDICARE PTAN (INDIVIDUAL)
—
01
—
CA4748
MEDICARE RAILROAD PTAN (GROUP)
IL
01
—
P00946731
MEDICARE RAILROAD PTAN (GROUP)
IL
Enumeration date
05/07/2008
Last updated
11/04/2013
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