Individual provider · NPI-1

Christine Lang, PA

Physician Assistant · Wall Township, NJ

NPI number1649214883
StatusActive
Last updated in NPPESNov 22, 2019

Details

NPI
1649214883
Entity type
Individual (NPI-1)
Name
Christine Lang
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Jun 16, 2006
Last updated
Nov 22, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant25MP00041600NJYes

Practice location

1825 Rte 35
Wall Township, NJ 07719-3541

Phone 516-453-0435

Mailing address

Po Box 717
Livingston, NJ 07039-0717

Phone 973-740-0607

Other practice locations

Monmouth Medical Center
300 Second Avenue
Long Branch, NJ 07740

Phone 732-222-5200

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