Organization
LONGTCHI GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEDEON LONGTCHI FNP (CEO)
(410) 571-4113
Entity
Organization
Contact information
Practice address
14300 CHERRY LANE CT STE 217, LAUREL, MD 20707-4990
(410) 571-4113
Mailing address
14300 CHERRY LANE CT STE 217, LAUREL, MD 20707-4990
(410) 571-4113
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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