Individual
DR. MARIA ISABEL LONGO-IMEDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
303 BENNER PIKE, STATE COLLEGE, PA 16801-7304
(814) 272-5660
(814) 272-5675
Mailing address
500 UNIVERSITY DR, MC CA410, HERSHEY, PA 17033-2360
(717) 531-1159
(717) 531-0119
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
282851828
ZZ
207N00000X
Dermatology Physician
Primary
MD486832
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015478700
—
FL
Enumeration date
03/27/2015
Last updated
12/26/2024
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