Organization
MIDDLETOWN SURGICAL GROUP, PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM A. LONGO M.D. (PRESIDENT)
(860) 347-2608
Entity
Organization
Contact information
Practice address
520 SAYBROOK ROAD, SUITE S100, MIDDLETOWN, CT 06457
(860) 346-2608
(860) 347-4691
Mailing address
520 SAYBROOK ROAD, SUITE S100, MIDDLETOWN, CT 06457
(860) 346-2608
(860) 347-4691
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
45609
CT
2086S0129X
Vascular Surgery Physician
45609
CT
2086X0206X
Surgical Oncology Physician
45609
CT
208C00000X
Colon & Rectal Surgery Physician
45609
CT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
45609
CT
Other
Enumeration date
01/22/2007
Last updated
09/11/2025
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