Individual
MR. BOGDAN MARK LANGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2172
(908) 522-4860
Mailing address
2358 LONGFELLOW AVE, SCOTCH PLAINS, NJ 07076-4520
(908) 233-6223
(908) 233-2648
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00057700
NJ
Other
Enumeration date
12/20/2006
Last updated
07/07/2008
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