Lange, Beverly J
Lange, Beverly J is an individual health care provider with primary practice located at 3401 Civic Center Blvd Children'S Hospital Of Philadelphia, Philadelphia PA 19104-4319. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is her primary health care specialty. Lange, Beverly J can be contacted via phone (215) 590-1000.Contact Information
Primary practice address
3401 Civic Center Blvd Children'S Hospital Of Philadelphia
Philadelphia PA 19104-4319
Phone: (215) 590-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD013859E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | MD013859E | Pennsylvania |
Profile Details
| NPI number | 1619990454 |
|---|---|
| LBN Legal business name | Lange, Beverly J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Mar 24th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619990454 | NPPES |
| New Jersey | MEDICAID | 1165402 | |
| New Jersey | MEDICAID | 000661439 |
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