Longo, Stacey Lee

Longo, Stacey Lee is an individual health care provider with primary practice located at 2 Corbett Way Pathology Solultions 2Nd Floor, Eatontown NJ 07724-2263. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine is her primary health care specialty. Longo, Stacey Lee can be contacted via phone (732) 389-5200.

Contact Information

Primary practice address
2 Corbett Way Pathology Solultions 2Nd Floor Eatontown NJ 07724-2263
Phone: (732) 389-5200
Fax: (732) 389-5299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MA67626 New Jersey
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 25MA06762600 New Jersey

Profile Details

NPI number 1184799223
LBN Legal business name Longo, Stacey Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Mar 21st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184799223 NPPES
New Jersey MEDICAID 8069204

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