| NPI | 1558499046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LONGOBARDO Pyhsician 704-588-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NC 320) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2008-06-05 |