Provider Demographics
NPI:1265445266
Name:LANGELAND, ROLF H (MD)
Entity Type:Individual
Prefix:
First Name:ROLF
Middle Name:H
Last Name:LANGELAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 KINGS HIGHWAY CUTOFF
Mailing Address - Street 2:ORTHOPAEDIC SPECIALTY GRUOP
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-5340
Mailing Address - Country:US
Mailing Address - Phone:203-337-1900
Mailing Address - Fax:
Practice Address - Street 1:75 KINGS HIGHWAY CUTOFF
Practice Address - Street 2:ORTHOPAEDIC SPECIALTY GROUP
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-5340
Practice Address - Country:US
Practice Address - Phone:203-337-2600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT033759207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001337593Medicaid
CT003764OtherHEALTH NET
TINOtherGREAT WEST
TINOtherNATIONAL PROVIDER NETWORK
CT033759OtherCONNECTICARE
TINOtherCORVEL
TINOtherCIGNA
CT060868382-027OtherCIGNA
CT86G681 (2) (3)OtherEMPIRE
CTP668976OtherOXFORD
TINOtherNEATHEAST HEALTH DIRECT
TINOtherFIRST HEALTH / CCN
TINOtherORTHONET
CT0981340OtherAETNA
TINOtherNEHCA HMC/ PPO
CT010033759CT01OtherANTHEM BC/BS
TINOtherPOMCO
TINOtherPIONEER
CTP668976OtherOXFORD
TINOtherPOMCO