Individual
SARAH ELIZABETH LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4349
(410) 787-4304
Mailing address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4349
(410) 787-4304
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
013183
NY
363A00000X
Physician Assistant
Primary
C0005480
MD
Other
Enumeration date
03/19/2009
Last updated
02/12/2015
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