Provider Demographics
NPI:1144329921
Name:LANGLOIS, ANDRE G (MD)
Entity type:Individual
Prefix:
First Name:ANDRE
Middle Name:G
Last Name:LANGLOIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 STRATTON RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01267-2945
Mailing Address - Country:US
Mailing Address - Phone:413-664-5278
Mailing Address - Fax:
Practice Address - Street 1:71 HOSPITAL AVENUE
Practice Address - Street 2:NORTH ADAMS REGIONAL HOSP
Practice Address - City:NORTH ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01247
Practice Address - Country:US
Practice Address - Phone:413-664-5278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1606442085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology