Individual
GERALD J. LONGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1606 N 7TH ST, TERRE HAUTE, IN 47804-2706
(812) 232-9557
(812) 232-1517
Mailing address
PO BOX 1054, TERRE HAUTE, IN 47808-1054
(812) 232-9557
(812) 232-1517
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01034781
IN
Other
Enumeration date
05/23/2005
Last updated
07/08/2007
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