Individual
DR. STEPHEN C LONGENECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 S 7TH AVE STE 365, WEST READING, PA 19611-1436
(484) 628-2663
(484) 628-2621
Mailing address
PO BOX 9202, BELFAST, ME 04915-9202
(610) 376-8671
(610) 376-6387
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD-039816-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011960480002
—
PA
01
—
01953001
CAPITAL BLUE CROSS
PA
01
—
L0599276
BLUE SHEILD
PA
Enumeration date
08/11/2005
Last updated
02/21/2023
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