Provider Demographics
NPI:1366433922
Name:LANGAN, MICHAEL L (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:L
Last Name:LANGAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIANS ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-726-4633
Mailing Address - Fax:617-228-6306
Practice Address - Street 1:100 CHARLES RIVER PLZ
Practice Address - Street 2:SUITE 501 CPZ 502
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2725
Practice Address - Country:US
Practice Address - Phone:617-726-4600
Practice Address - Fax:617-228-6306
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2012-12-21
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Provider Licenses
StateLicense IDTaxonomies
MA151239207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA764558OtherTUFTS HEALTH PLAN
MAJ18543OtherBCBS MS
MA3176525Medicaid
MAJ18543OtherBCBS MS
F88883Medicare UPIN