Individual
STEPHEN R. LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
252 S 4TH ST, LEBANON, PA 17042-6111
(717) 228-1620
Mailing address
110 29TH AVE N STE 301, NASHVILLE, TN 37203-6001
(855) 331-4999
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD049405L
PA
Other
Enumeration date
10/07/2005
Last updated
08/03/2015
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