Provider Demographics
NPI:1124351242
Name:JAMES V. LANG PC
Entity type:Organization
Organization Name:JAMES V. LANG PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:VINCENT
Authorized Official - Last Name:LANG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-874-9220
Mailing Address - Street 1:284 ROUTE 206
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-4690
Mailing Address - Country:US
Mailing Address - Phone:908-874-9220
Mailing Address - Fax:908-874-9221
Practice Address - Street 1:284 ROUTE 206
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4690
Practice Address - Country:US
Practice Address - Phone:908-874-9220
Practice Address - Fax:908-874-9221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-08
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00512300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ001145Medicare UPIN