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Individual

DR. JANINA ANN LONGTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
310 CEDAR ST # LH315B, NEW HAVEN, CT 06510-3218
(203) 785-7193
Mailing address
310 CEDAR ST # LH315B, PO BOX 208023, NEW HAVEN, CT 06510-3218
(203) 785-7193

Taxonomy

Speciality
Code
Description
License number
State
207SM0001X
Molecular Genetic Pathology (Medical Genetics) Physician
Primary
054996
CT
207ZP0101X
Anatomic Pathology Physician
054996
CT

Other

Enumeration date
01/07/2006
Last updated
07/13/2016
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