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Individual

JAMES F LONGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
274 HEATHER CT, TEMPLETON, CA 93465-9738
(805) 434-1859
(805) 434-2383
Mailing address
274 HEATHER CT, TEMPLETON, CA 93465-9738
(805) 434-1859
(209) 549-9385

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G50881
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G508810
CA
01
P00316522
RAILROAD MEDICARE
CA
Enumeration date
08/19/2005
Last updated
02/05/2014
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