Individual
MATTHEW P LONGNECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 TW ALEXANDER DR, BLDG 101 ROOM A358, RESEARCH TRIANGLE PK, NC 27709
(919) 541-5118
Mailing address
PO BOX 12233, MD A3-05, DURHAM, NC 27709-2233
(919) 541-5118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
53277
MA
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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