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PETER LANG MD NPI 1063403780


NPI Information

NPI: 1063403780
Provider Name: PETER LANG, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
300 LONGWOOD AVE
BOSTON, MA
ZIP 02115
Phone: (617) 355-2793
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Peter Lang, MD is a pediatrics in Boston, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Peter Lang, MD NPI is 1063403780. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 LONGWOOD AVE
BOSTON, MA
ZIP 02115-724
Phone: (617) 355-2793

The enumeration date for this NPI number is 11/2/2005 and was last updated on 2/19/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics42489MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PL25420MEDICAIDRHODE ISLAND
230001165OTHERNEW HAMPSHIREMEDICAID NH
3683005MEDICAIDNEW YORK
42062313MEDICAIDMASSACHUSETTS
5B20232601OTHERMASSACHUSETTSCIGNA MA
6B98744MEDICARE UPIN
7AA9223OTHERMASSACHUSETTSHARVARD PILGRIM
87500162OTHERMASSACHUSETTSUNITED HEALTHCARE MA
9M09798MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
10M09798OTHERMASSACHUSETTSBCBS MA
1199277901OTHERMASSACHUSETTSNETWORK HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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