Individual
DAN L. LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 CYPRESS ST, BROOKLINE, MA 02445-6002
(857) 307-0896
Mailing address
111 CYPRESS ST, BROOKLINE, MA 02445-6002
(857) 307-0896
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
D0020564
MD
Other
Enumeration date
01/02/2007
Last updated
06/14/2012
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