Individual
DR. JASON LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 E STATE ST STE 105, MEDIA, PA 19063-3434
(610) 892-1708
(610) 892-8766
Mailing address
200 E STATE ST STE 105, MEDIA, PA 19063-3434
(610) 892-1708
(610) 892-8766
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME133038
FL
207W00000X
Ophthalmology Physician
Primary
ME133038
FL
208600000X
Surgery Physician
ME133038
FL
Other
Enumeration date
06/12/2014
Last updated
09/16/2020
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