Individual
DR. CAROLINA BACANI LONGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 INDEPENDENCE CIRCLE, STE 1-B, VIRGINIA BEACH, VA 23455
(757) 499-9504
(757) 499-9504
Mailing address
700 INDEPENDENCE CIRCLE, STE 1-B, VIRGINIA BEACH, VA 23455
(757) 499-9504
(757) 499-9504
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
031680
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6087736
—
VA
Enumeration date
08/04/2006
Last updated
07/08/2007
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