Individual
CHARLES A LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 DELHI ST, STE 100, DUBUQUE, IA 52001-6320
(563) 557-9111
(563) 589-4046
Mailing address
1515 DELHI ST, STE 100, DUBUQUE, IA 52001-6320
(563) 557-9111
(563) 589-4046
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20324
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152744
—
IA
05
—
30225800
—
WI
Enumeration date
03/16/2006
Last updated
10/18/2007
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