Individual
MICHAEL LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
78 MEDICAL CENTER DR, FISHERSVILLE, VA 22939-2332
(540) 932-4075
(540) 932-5199
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 932-4075
(540) 932-5199
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101259340
VA
208M00000X
Hospitalist Physician
Primary
0101259340
VA
Other
Enumeration date
09/15/2005
Last updated
09/22/2023
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