Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 000295 | CT |
N | 111NN0400X | Neurology | 000295 | CT |
NPI | 1902970676 |
---|---|
Provider Name | Dr. Robert J Langone |
First Address | Enfield, CT 06082-3858 |
Second Address | Enfield, CT 06082-3858 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 08/07/2007 |