Individual
DR. WILLIAM AMERICO LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 SAYBROOK RD, MIDDLETOWN, CT 06457-4700
(860) 346-2608
(860) 347-4691
Mailing address
239 OLD MILL RD, MIDDLETOWN, CT 06457-2419
(860) 346-2608
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
023666
CT
2086S0129X
Vascular Surgery Physician
023666
CT
2086X0206X
Surgical Oncology Physician
023666
CT
208C00000X
Colon & Rectal Surgery Physician
023666
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001236660
—
CT
Enumeration date
01/13/2006
Last updated
07/28/2010
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