Individual
DR. BENJAMIN BJORN LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE - DEPARTMENT OF RADIOLOGY, BURLINGTON, VT 05401-1473
(603) 556-0921
Mailing address
2 1/2 BEACON ST, STE 199, CONCORD, NH 03301-4447
(603) 228-1521
(603) 225-2510
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
042.0012310
VT
2085R0202X
Diagnostic Radiology Physician
MD190760
OR
Other
Enumeration date
03/27/2009
Last updated
07/03/2024
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