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Individual

JAMES P LONGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
90 BEAVER AVE, SUITE 201, CLINTON, NJ 08809-1017
(908) 730-6368
(908) 730-6323
Mailing address
90 BEAVER AVE, SUITE 201, CLINTON, NJ 08809-1017
(908) 730-6368
(908) 730-6323

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MCO2961
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2093103
NJ
01
648956
ACN
NJ
01
78911
AETNA US HEALTH CARE
NJ
Enumeration date
05/30/2006
Last updated
05/29/2008
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