Provider Demographics
NPI:1992829667
Name:LANGNER, ANGELA J (RD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:J
Last Name:LANGNER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 ZABRISKIE ST
Mailing Address - Street 2:2B
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-4911
Mailing Address - Country:US
Mailing Address - Phone:973-670-3103
Mailing Address - Fax:
Practice Address - Street 1:25 ZABRISKIE ST
Practice Address - Street 2:2B
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-4911
Practice Address - Country:US
Practice Address - Phone:973-670-3103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic