Doctor Name: | ANDREW LANGSAM |
NPI Number: | 1447238159 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD2010-0670 |
Business Practice Address: | 3450 Zafarano Dr Suite C Santa Fe, NM - 875072669 |
Business Phone Number: | 5054665885 |
Business Fax Number: | 5054665886 |
Mailing Address: | 3450 Zafarano Dr, Suite C SANTA FE |
State: | NM |
Postal Code: | 875072669 |
Phone Number: | 5054665885 |
Fax Number: | 5054665886 |
NPI Enumeration Date: | 01/03/2006 |
NPI Last Update Date: | 06/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD2010-0670 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |