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Individual

DR. CHRISTOPHER ROBERT LONGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3713 BENSON DRIVE, SUITE 201, CAROLINA VASCULAR SURGERY & DIAGNOSTICS, PA, RALEIGH, NC 27609-7372
(919) 235-3400
(919) 235-3401
Mailing address
3713 BENSON DRIVE, SUITE 201, RALEIGH, NC 27609-7372
(919) 235-3400
(919) 235-3401

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200600954
NC
174400000X
Specialist
430618
MI

Other

Enumeration date
05/25/2006
Last updated
02/01/2012
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