Longo, Walter E

Longo, Walter E is an individual health care provider with primary practice located at 800 Howard Ave Ypb - Third Floor, New Haven CT 06519-1369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Longo, Walter E can be contacted via phone (203) 785-4079.

Contact Information

Primary practice address
800 Howard Ave Ypb - Third Floor New Haven CT 06519-1369
Phone: (203) 785-4079
Fax: (203) 737-4033
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 028590 Connecticut

Profile Details

NPI number 1831160936
LBN Legal business name Longo, Walter E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Mar 11th, 2011 - about 13 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 1831160936 NPPES
Connecticut MEDICAID 001285908

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