Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 0101242269 | VA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 0101242269 | VA |
N | 207XS0106X | Orthopaedic Hand Surgeon | 2014-00394 | NC |
NPI | 1073697272 |
---|---|
Provider Name | Dr. Matthew Alan Langford |
First Address | Suffolk, VA 23435-3200 |
Second Address | Portsmouth, VA 23708-2111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2006 |
Last Update Date | 06/03/2020 |