Provider Demographics
NPI:1275553984
Name:LANGLEY, JOHN O (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:O
Last Name:LANGLEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:140 ACADEMY ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-3102
Mailing Address - Country:US
Mailing Address - Phone:207-768-5944
Mailing Address - Fax:207-768-3203
Practice Address - Street 1:140 ACADEMY ST
Practice Address - Street 2:SUITE 4
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-3102
Practice Address - Country:US
Practice Address - Phone:207-768-5944
Practice Address - Fax:207-768-3203
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2008-07-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ME010506207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME060807OtherANTHEM
MEAS OF 5/1/1998OtherHEALTHNET
ME31210712OtherUNITED HEALTHCARE
MED03727OtherHARVARD PILGRIM
MEM86581OtherCIGNA
ME118290099Medicaid
ME3341926OtherAETNA HMO
ME001050OtherMARTINS POINT
ME5014569OtherAETNA NON-HMO
MEAS OF 07/01/2005OtherBENEFIT SERVICES
D03727Medicare UPIN
ME3341926OtherAETNA HMO