B Jack Longley, MD
B Jack Longley, MD is a Dermatopathology Physician in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
8 N Prospect AveMadison, WI 53726-3936
Phone: (000) 000-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatopathology Physician (primary) | Taxonomy 207ND0900X · Licence 43952 (WI) |
|---|
Record details
| NPI number | 1609835669 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 20, 2006 |
| Last updated in NPPES | January 15, 2021 |
| Certification date | January 15, 2021 |
| Mailing address | 8 N Prospect Ave, Madison, WI 53726-3936 |
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