Individual
DR. MONICA LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101253005
VA
207V00000X
Obstetrics & Gynecology Physician
BP1-0029069
TX
207VM0101X
Maternal & Fetal Medicine Physician
Primary
0101253005
VA
207VM0101X
Maternal & Fetal Medicine Physician
R7264
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4657215830
MYUTMB 4657215830
—
Enumeration date
08/05/2007
Last updated
12/15/2021
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