Individual
WALTER E LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 HOWARD AVE, YPB - THIRD FLOOR, NEW HAVEN, CT 06519-1369
(203) 785-4079
(203) 737-4033
Mailing address
800 HOWARD AVE, YPB - THIRD FLOOR, NEW HAVEN, CT 06519-1369
(203) 785-4079
(203) 737-4033
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
028590
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001285908
—
CT
Enumeration date
01/28/2006
Last updated
03/11/2011
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