Provider Demographics
NPI:1780930933
Name:LANGELIER, CAROLYN (MD)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:
Last Name:LANGELIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:103 STEPHEN MATHER RD
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-2232
Mailing Address - Country:US
Mailing Address - Phone:203-655-1486
Mailing Address - Fax:203-655-3453
Practice Address - Street 1:103 STEPHEN MATHER RD
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-2232
Practice Address - Country:US
Practice Address - Phone:203-655-1486
Practice Address - Fax:203-655-3453
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT041146207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT041146OtherLICENSE
NY01755444Medicaid
NYBL3056377OtherDEA