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Individual

JAY MICHAEL LANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
520 UPPER CHESAPEAKE DR, SUITE 201, BEL AIR, MD 21014-4339
(443) 643-3800
(443) 643-3856
Mailing address
520 UPPER CHESAPEAKE DR, SUITE 201, BEL AIR, MD 21014-4339
(443) 643-3800
(443) 643-3856

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
H0044463
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
242821100
MD
Enumeration date
05/31/2005
Last updated
06/24/2010
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