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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831160936 | NPPES |
| Connecticut | MEDICAID | 001285908 |
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