person
John Josph Longobardo, DPM,MD
Foot & Ankle Surgery Podiatrist in Charlotte, North Carolina
NPI 1174606156

John Josph Longobardo is a Foot & Ankle Surgery Podiatrist based in Charlotte, NC and is specialized in Foot & Ankle Surgery. John Josph Longobardo practices in Charlotte, NC and has the professional credentials of DPM,MD. The NPI Number for John Josph Longobardo is 1174606156 and holds a License No. 320 (North Carolina).

The current practice location address for John Josph Longobardo is 9124 S Tryon St, Charlotte, NC and can be reached out via phone at 704-588-7373 and via fax at 704-588-7585. You can also correspond with John Josph Longobardo through the mailing address at 9124 S TRYON ST, CHARLOTTE, NC - 28273-3114 (mailing address contact number: 704-588-7373).

Location: 9124 S Tryon St, Charlotte, NC, 28273-3114
person
Provider Profile Details
NPI Number
1174606156
Provider Name
John Josph Longobardo
Credential
DPM,MD
Provider Entity Type
Individual
Gender
Male
Address
9124 S Tryon St, Charlotte, NC, 28273-3114
Phone Number
704-588-7373
Fax Number
704-588-7585
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22677 01 NC MEDICAOST PROVIDER NUMBER
263077 01 NC WELLPATH
56412 01 NC PHCS PROVIDER NUMBER
4235524 01 NC AETNA PPO/POS
890857H 05 NC
0857H 01 NC NC BXBS PROVIDER NUMBER
342391 01 NC CIGNA
41856 01 NC PARTNERS PROVIDER NUMBER
PD3204 05 SC
34811 01 NC PRINCIPAL PROVIDER NUMBER
2023286 01 NC AETNA HMO PROVIDER NUMBER
2741683 01 NC UNITED HEALTH CARE #
institution
Provider Business Practice Location Address Details
Address
9124 S Tryon St
City
State
Zip
28273-3114
Phone Number
704-588-7373
Fax Number
704-588-7585
person
Provider Business Mailing Address Details
Address
9124 S Tryon St
City
State
Zip
28273-3114
Phone Number
704-588-7373
Fax Number
704-588-7585
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
320 (North Carolina)
Definition
Definition to come...
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