Individual
ANDREW LANGSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3450 ZAFARANO DR, SUITE C, SANTA FE, NM 87507-2669
(505) 466-5885
(505) 466-5886
Mailing address
3450 ZAFARANO DR, SUITE C, SANTA FE, NM 87507-2669
(505) 466-5885
(505) 466-5886
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD2010-0670
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000192201
—
DE
01
—
486804YN7R
MEDICARE PTAN
NM
Enumeration date
01/03/2006
Last updated
06/03/2016
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