Provider Demographics
NPI:1477117554
Name:LANGEVELDT, ANTANOID JOHN (MBBS, DTM&H, IPPC)
Entity Type:Individual
Prefix:DR
First Name:ANTANOID
Middle Name:JOHN
Last Name:LANGEVELDT
Suffix:
Gender:M
Credentials:MBBS, DTM&H, IPPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 ROCKLAND AL DUPONT HOSPITAL
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803
Mailing Address - Country:US
Mailing Address - Phone:302-377-4642
Mailing Address - Fax:
Practice Address - Street 1:1600 ROCKLAND AL DUPONT HOSPITAL
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803
Practice Address - Country:US
Practice Address - Phone:302-377-4642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-24
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program