Individual
BRIANNA MARIE LONGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1601 MARKET ST STE 2410, PHILADELPHIA, PA 19103
(215) 564-5311
Mailing address
1618 S CAMAC ST, PHILADELPHIA, PA 19148-1007
(304) 780-2523
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/18/2014
Last updated
10/07/2019
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