Provider Demographics
NPI:1962758334
Name:LANGHAM, THOMAS JAMES (MED,COMS)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:JAMES
Last Name:LANGHAM
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Gender:M
Credentials:MED,COMS
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Mailing Address - Street 1:912 NORTH HAWLEY ROAD
Mailing Address - Street 2:ROOM 220
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53213-3222
Mailing Address - Country:US
Mailing Address - Phone:414-302-2765
Mailing Address - Fax:414-302-6231
Practice Address - Street 1:912 NORTH HAWLEY ROAD
Practice Address - Street 2:ROOM 220
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53213-3222
Practice Address - Country:US
Practice Address - Phone:414-302-2765
Practice Address - Fax:414-302-6231
Is Sole Proprietor?:No
Enumeration Date:2012-08-03
Last Update Date:2012-08-03
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, Blind