Individual
JONATHAN LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1065 KOELLE BLVD, SECAUCUS, NJ 07094-4228
(201) 774-3740
Mailing address
1065 KOELLE BLVD, SECAUCUS, NJ 07094-4228
(201) 774-3740
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26NJ15437600
NJ
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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