# THYROID & DIABETES MANAGEMENT CENTER LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326058884
- **Authorized official:** RICHARD LONGLEY M.D. (PRESIDENT)
- **Authorized official phone:** (219) 836-2022

## Contact information

- **Practice address:** 8939 BROADWAY, MERRILLVILLE, IN 46410-7039
- **Practice address phone:** (219) 836-2022
- **Mailing address:** 9201 CALUMET AVE, MUNSTER, IN 46321-2807
- **Mailing address phone:** (219) 836-2022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/08/2006
- **Last updated:** 10/06/2010