Robert Lang, MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

17799 Issued in CT

Legal business name

ROBERT LANG, MD PC

Practice address

11 Woodland Rd
2 ND Floor
Madison, CT 06443-2342

Phone

(203) 318-5264

Fax

(203) 318-5203

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Laura Lindblom

Title

Practice Administrator

Phone

(203) 318-5264

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1649221292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WOODLAND RD",
            "address_2": "2 ND FLOOR",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432342",
            "telephone_number": "203-318-5264",
            "fax_number": "203-318-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WOODLAND RD",
            "address_2": "2 ND FLOOR",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432342",
            "telephone_number": "203-318-5264",
            "fax_number": "203-318-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT LANG, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "LINDBLOM",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "203-318-5264",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "17799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1177997",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Madison, CT
• Providers in Madison, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.