Individual
NICOLE L LUONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
325 CENTRAL AVE, SUITE 200, MALVERN, PA 19355-3265
(610) 644-6755
(610) 647-2063
Mailing address
PO BOX 350, SELLERSVILLE, PA 18960-0350
(215) 723-2333
(215) 257-1800
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057902
PA
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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