Individual provider · Type 1 NPI
Christopher Robert Longo, MD
Specialist · Raleigh, NC
NPI number
1780630749
Active
Practice location
3713 Benson Drive, Suite 201, Carolina Vascular Surgery & Diagnostics, Pa
Raleigh, NC 27609-7372
Fax (919) 235-3401
Mailing address
3713 Benson Drive, Suite 201
Raleigh, NC 27609-7372
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 430618 (MI) |
| Specialist Primary | 174400000X | 200600954 (NC) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1780630749
Christopher Robert Longo, MD's National Provider Identifier is 1780630749, issued on May 25, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Raleigh, NC. The record was last updated on Feb 1, 2012.