Provider Demographics
NPI:1669466520
Name:LANGER, JANICE MOSELEY (MD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:MOSELEY
Last Name:LANGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JANICE
Other - Middle Name:LYNNE
Other - Last Name:MOSELEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:112 BANBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21617-2348
Mailing Address - Country:US
Mailing Address - Phone:410-758-1388
Mailing Address - Fax:
Practice Address - Street 1:4374 NEW TOWN AVE STE 200
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188
Practice Address - Country:US
Practice Address - Phone:757-984-6110
Practice Address - Fax:757-510-9142
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0007532207Q00000X
VA0101058027207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1669466520Medicaid