Dyan Longo
NPI #1790946036 in Maplewood, New Jersey
Provider Information
- NPI Number
- 1790946036
- Entity Type
- Individual
- Name
- Dyan Longo
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician
- Enumeration Date
- Jun 19, 2008
- Last Updated
- Jun 19, 2008
Practice Location
- Address
- 180 BOYDEN AVE
- City
- Maplewood
- State
- New Jersey
- ZIP Code
- 07040-2480
- Phone
- (973) 378-6001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician |
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