NPI 1770725467 · live from the CMS NPI Registry
Benjamin Bjorn Lange, M.D.
Radiology, Diagnostic Radiology in Burlington, VT. National Provider Identifier 1770725467, active.
NPI record
| NPI | 1770725467 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 111 Colchester Ave, Fletcher Allen Health Care - Department Of Radiology, Burlington, VT 05401 |
| Practice phone | 603-556-0921 |
| Mailing address | 2 1/2 Beacon St, Ste 199, Concord, NH 03301 |
| Enumerated | March 27, 2009 |
| Last updated | July 3, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | MD190760 (OR) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 042.0012310 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.