Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | MD438518 | PA |
Y | 207RC0200X | Critical Care Medicine | ME121869 | FL |
NPI | 1073537080 |
---|---|
Provider Name | Paul Langevin |
First Address | Philadelphia, PA 19102-2100 |
Second Address | Philadelphia, PA 19102-1121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 20/01/2022 |