Individual
ALBAN ETIENNE PIERRE LONGCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(857) 200-4554
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
1024136
MA
208600000X
Surgery Physician
Primary
1024136
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110228520A
—
MA
Enumeration date
07/24/2023
Last updated
12/18/2025
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