Individual
KERI MARIE LAVIGNE-LANGENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7600 CENTRAL AVE, MARC J MEDWAY MD PC, PHILADELPHIA, PA 19111-2442
(215) 728-3736
(215) 728-3354
Mailing address
PO BOX 602, MARC J MEDWAY MD PC, GWYNEDD VALLEY, PA 19437-0602
(215) 542-7260
(215) 542-1012
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD058349L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01588594
—
PA
01
—
0961554000
KEYSTONE HEALTH AMER HEAL
PA
01
—
1122995
KEYSTONE MERCY
PA
01
—
157681MD058349L
HEALTH PARTNERS
PA
01
—
2438725
AETNA US HEALTH
PA
01
—
2Y1545
PHS HEALTH PLAN
PA
Enumeration date
08/22/2005
Last updated
09/22/2011
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