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Nicholas William Longo, PA-C
Medical Physician Assistant in Malvern, Pennsylvania
NPI 1508377250

Nicholas William Longo is a Medical Physician Assistant based in Philadelphia, PA and is specialized in Medical. Nicholas William Longo practices in Malvern, PA and has the professional credentials of PA-C. The NPI Number for Nicholas William Longo is 1508377250 and holds a License No. OA004323 (Pennsylvania).

The current practice location address for Nicholas William Longo is 325 Central Ave Ste 200, Malvern, PA and can be reached out via phone at 610-644-6755.

Location: 325 Central Ave Ste 200, Malvern, PA, 19130-2951
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508377250
Provider Name
Nicholas William Longo
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
325 Central Ave Ste 200, Malvern, PA, 19130-2951
Phone Number
610-644-6755
Fax Number
Provider Enumeration Date
10/21/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
325 Central Ave Ste 200
City
Malvern
State
Pennsylvania
Zip
19355-3265
Phone Number
610-644-6755
Fax Number
person
Provider Business Mailing Address Details
Address
325 Central Ave Ste 200
City
Malvern
State
Pennsylvania
Zip
19355-3265
Phone Number
610-644-6755
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
OA004323 (Pennsylvania)
Definition
Definition to come...
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