Organization
CARE COORDINATION OF PA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE LONGO (CHIEF CLINICAL OFFICER)
(860) 990-1335
Entity
Organization
Contact information
Practice address
600 EAGLEVIEW BLVD, OFFICE 367 SUITE 300, EXTON, PA 19341
(502) 592-8271
Mailing address
33 S STATE ST STE 500, CHICAGO, IL 60603-2809
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
11/24/2023
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