Eddo De Lang, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0130000202 Issued in VA

Practice address

1301 Sam Perry Blvd Ste 100
Fredericksburg, VA 22401-8420

Phone

(540) 582-1061

Fax

(540) 274-4087

NPI assigned

May 26, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Goldwyn & Boyland Physical Therapy PC

  • Physical Therapist
  • Cortland, NY
  • NPI 1659576296
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1346296456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 SNOWY EGRET WAY",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224064907",
            "telephone_number": "607-745-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SAM PERRY BLVD STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018420",
            "telephone_number": "540-582-1061",
            "fax_number": "540-274-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LANG",
        "first_name": "EDDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0130000202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Day One Counseling & Consulting, LLC
• DC Dental Care, PLLC
• Marvin Ddumba
• Janelle De Guzman, RBT
• Valerie Ann De la Fuente
• Spencer Dean, DO
• Marc Deangelo
• Lauren Hill Dearmas, MSW, LCSW
• Steffani A. Deas, O.D.
• Daniel C Debee, CRNA

• Family Medicine Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.