Individual
NIKKI LANG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
634 PINE ST, PHILADELPHIA, PA 19106-4109
(215) 627-1300
(215) 925-2126
Mailing address
634 PINE ST, PHILADELPHIA, PA 19106-4109
(215) 627-1300
(215) 925-2126
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD022559E
PA
Other
Enumeration date
03/17/2006
Last updated
07/08/2007
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