Individual
PHILIPP KARL LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7 FAIR OAKS TER, LEXINGTON, MA 02421-6905
(781) 274-7493
Mailing address
7 FAIR OAKS TER, LEXINGTON, MA 02421-6905
(781) 274-7493
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
210136
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144487
—
MA
01
—
210136
TUFTS HEALTH CARE
MA
01
—
J23949
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/13/2005
Last updated
02/02/2012
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