Individual
HAROLD O LONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10212 LANTERN RD, FISHERS, IN 46037-9705
(317) 841-5656
(317) 841-5751
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01066368A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006898
—
MA
01
—
P01210561
RAILROAD MEDICARE
IN
Enumeration date
10/31/2005
Last updated
12/02/2020
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