Provider Demographics
NPI:1568584704
Name:LANGER, CURTIS M (DC,CSP)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:M
Last Name:LANGER
Suffix:
Gender:M
Credentials:DC,CSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 ELM ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02144-3145
Mailing Address - Country:US
Mailing Address - Phone:617-625-5350
Mailing Address - Fax:
Practice Address - Street 1:179 ELM ST
Practice Address - Street 2:SUITE 202
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-3145
Practice Address - Country:US
Practice Address - Phone:617-625-5350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA389111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY35234Medicare ID - Type Unspecified