Individual
JULIANNE LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1505 W SHERMAN AVE, VINELAND, NJ 08360-7059
(856) 641-8000
Mailing address
12 LONG BOW DR, SEWELL, NJ 08080-1656
(856) 649-3733
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00501000
NJ
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00501000
PHYSICIAN ASSISTANT
NJ
Enumeration date
10/24/2018
Last updated
03/03/2026
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