Individual
DR. ALLISON LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
625 CLARK AVE STE 17B, KING OF PRUSSIA, PA 19406-1438
(215) 654-1544
Mailing address
610 FREEDOM BUSINESS CTR DR STE 310, KING OF PRUSSIA, PA 19406-1329
(610) 340-3530
(610) 337-0185
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
261160
MA
207VE0102X
Reproductive Endocrinology Physician
Primary
MD464896
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-2386239
TAX ID
PA
Enumeration date
04/19/2010
Last updated
10/02/2018
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