GERALD J. LONGA

TERRE HAUTE, IN
NPI1780687921
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: IN  01034781)
Enumeration Date2005-05-23
Last Update Date2007-07-08
Business Address
GERALD J. LONGA M.D.
1606 N 7TH ST
TERRE HAUTE, IN 47804-2706
Phone number: 812-232-9557
Mailing Address
GERALD J. LONGA M.D.
PO BOX 1054
TERRE HAUTE, IN 47808-1054
Phone number: 812-232-9557
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