Basic Information
Provider Information
NPI: 1508950957
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LANG-GROENING
FirstName: CYNTHIA
MiddleName: ANN
NamePrefix: MRS.
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1103 TALCOSE LN
Address2:  
City: WEST CHESTER
State: PA
PostalCode: 193801851
CountryCode: US
TelephoneNumber: 6102692525
FaxNumber: 3026335339
Practice Location
Address1: 1601 KIRKWOOD HWY
Address2:  
City: WILMINGTON
State: DE
PostalCode: 198054917
CountryCode: US
TelephoneNumber: 3029942511
FaxNumber: 3026335339
Other Information
ProviderEnumerationDate: 10/02/2006
LastUpdateDate: 07/09/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP2300XF300697-1NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care

No ID Information.


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