Provider Demographics
NPI:1558356899
Name:LANGENAU, ERIK EDWARD (DO)
Entity Type:Individual
Prefix:
First Name:ERIK
Middle Name:EDWARD
Last Name:LANGENAU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4148 LANCASTER AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-1727
Mailing Address - Country:US
Mailing Address - Phone:215-662-0119
Mailing Address - Fax:215-662-5339
Practice Address - Street 1:4148 LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-1727
Practice Address - Country:US
Practice Address - Phone:215-662-0119
Practice Address - Fax:215-662-5339
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2016-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS014569208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY159350201OtherHEALTH PLUS
NYLE3073OtherATLANTIS HEALTH PLAN
NY0101236-02OtherAMERICHOICE
NY3C4213OtherHEALTH NET
NY11-3491197OtherHORIZON HEALTHCARE NY
NY26N2812OtherNEIGHBORHOOD HEALTH
NY3235937OtherAETNA USHC HMO
NY7215464OtherAETNA PPO
NY02405329Medicaid
NY223073-A15OtherHEALTH FIRST
NY2324834 05OtherUNITED HEALTH CARE
NYP2913179OtherOXFORD HEALTH PLAN
NY0101236-02OtherAMERICHOICE
NY11-3491197OtherHORIZON HEALTHCARE NY