Individual
MS. MARIANNE T LONGACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
45 WELLS ST STE 201, WESTERLY, RI 02891-2927
(401) 637-7202
(860) 865-2393
Mailing address
45 WELLS ST STE 201, WESTERLY, RI 02891-2927
(401) 637-7202
(860) 865-2393
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO00537
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396776266
—
CT
05
—
1396776266
—
RI
Enumeration date
07/06/2006
Last updated
11/18/2022
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