Individual
GINA V LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1291 BOSTON POST RD STE 105, MADISON, CT 06443-3476
(860) 358-5100
(860) 358-8655
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
013321
CT
Other
Enumeration date
07/02/2019
Last updated
04/01/2025
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