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Individual

VICTORIA LANGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4700
(860) 442-0711
(860) 271-4224
Mailing address
57 MISTUXET AVE, MYSTIC, CT 06355-3002
(860) 572-9559
(860) 271-4224

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
000687
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06-0646704
TRICARE
05
4014679
CT
05
4024972
CT
Enumeration date
09/06/2006
Last updated
07/09/2007
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