Organization
ROBERT LANG, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA LINDBLOM (PRACTICE ADMINISTRATOR)
(203) 318-5264
Entity
Organization
Contact information
Practice address
11 WOODLAND RD, 2 ND FLOOR, MADISON, CT 06443-2342
(203) 318-5264
(203) 318-5203
Mailing address
11 WOODLAND RD, 2 ND FLOOR, MADISON, CT 06443-2342
(203) 318-5264
(203) 318-5203
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17799
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1177997
—
CT
Enumeration date
05/16/2006
Last updated
09/12/2007
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