Individual
MR. BRETT LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31 FARNSWORTH AVE, MAPLE SHADE, NJ 08052-3335
(856) 745-2306
Mailing address
31 FARNSWORTH AVE, MAPLE SHADE, NJ 08052-3335
(856) 745-2306
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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