Basic Information
Provider Information
NPI: 1760644157
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LANGMUIR
FirstName: HOLLY
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: ONE MEDICAL CENTER BLVD
Address2: ACP SUITE 333
City: UPLAND
State: PA
PostalCode: 190133902
CountryCode: US
TelephoneNumber: 6108724900
FaxNumber: 6108729221
Practice Location
Address1: ONE MEDICAL CENTER BLVD
Address2: ACP SUITE 333
City: UPLAND
State: PA
PostalCode: 19013
CountryCode: US
TelephoneNumber: 6108724900
FaxNumber: 6108729221
Other Information
ProviderEnumerationDate: 06/27/2008
LastUpdateDate: 05/14/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMT193521PAN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207VG0400XMD 67499GAN Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
207V00000XMD448665PAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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