Organization
STEPHAN C LANGE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHAN C LANGE M.D. (PRESIDENT)
(860) 522-7121
Entity
Organization
Contact information
Practice address
1000 ASYLUM AVE, SUITE 3208, HARTFORD, CT 06105-1770
(860) 522-7121
(860) 524-0815
Mailing address
1000 ASYLUM AVE, SUITE 3208, HARTFORD, CT 06105-1770
(860) 522-7121
(860) 524-0815
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
025612
CT
Other
Enumeration date
01/29/2008
Last updated
05/13/2008
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