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Individual

JASON E LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
78 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 307-8902
(207) 307-8911
Mailing address
78 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 307-8902
(207) 307-8911

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2007-00480
NC
207X00000X
Orthopaedic Surgery Physician
MD29110
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1326006347
VA
01
147CN
BCBS
NC
01
201088
MEDCOST
NC
05
3810009590
WV
05
5907250
NC
01
810624
PARTNERS
NC
01
9489097
AETNA
05
Q0048K
SC
Enumeration date
05/01/2006
Last updated
10/07/2025
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