Provider Demographics
NPI:1285882514
Name:LANGE, ANNAMARIE (VMD)
Entity type:Individual
Prefix:DR
First Name:ANNAMARIE
Middle Name:
Last Name:LANGE
Suffix:
Gender:F
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10311 OLD OCEAN CITY BLVD.
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811
Mailing Address - Country:US
Mailing Address - Phone:410-629-1800
Mailing Address - Fax:410-629-0373
Practice Address - Street 1:10311 OLD OCEAN CITY BLVD
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-1132
Practice Address - Country:US
Practice Address - Phone:410-629-1800
Practice Address - Fax:410-629-0373
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD5668174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian