Provider Demographics
NPI:1891772620
Name:LANG, THOMAS P (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:P
Last Name:LANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 E MANNING ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-5109
Mailing Address - Country:US
Mailing Address - Phone:401-272-2020
Mailing Address - Fax:401-421-5979
Practice Address - Street 1:150 E MANNING ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-5109
Practice Address - Country:US
Practice Address - Phone:401-272-2020
Practice Address - Fax:401-421-5979
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD07306207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0019786OtherNEIGHBORHOOD MA
RI2834OtherNEIGHBORHOOD RI
RIJ11768OtherMASS BLUE SHIELD
RI7002180Medicaid
RI0800658OtherUNITED
RI150626OtherHARVARD
RI150626OtherBLUE CHIP
RI180039136OtherRAILROAD MEDICARE
MAM17024OtherBCBS MA GROUP #
RI5674203OtherAETNA
RIM17477OtherBCBS MA GROUP #
RI26587OtherRI BLUE SHIELD
RI6352840OtherCIGNA
RI9001520Medicaid
RI402462OtherTUFTS
MAM20287Medicare PIN
MA0019786OtherNEIGHBORHOOD MA
RI2834OtherNEIGHBORHOOD RI
RI007007458Medicare PIN