Male or Other

John J. Longobardo D.P.M., M.D.

Foot & Ankle Surgery Podiatrist in Charlotte, NC(View on Map)

Full Name

John Josph Longobardo D.P.M., M.D.

NPI Number

1174606156

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/23/2006

Specialties

(Taxonomies)

Code

213ES0103X

Primary Taxonomy

Yes

Licenses

State

North Carolina

License Number

320

Contact
Information

Purpose

Mailing
Location

Address

9124 S TRYON ST
9124 S TRYON ST

City

Charlotte
Charlotte

State

NC
NC

Postal Code

28273-3114
28273-3114

Country

US
US

Telephone Number

(704) 588-7373
(704) 588-7373

Identifiers

Identifier

22677
263077
56412
4235524
890857H
0857H
342391
41856
PD3204
Unknown
Unknown
Unknown

Identifier State

NC
NC
NC
NC
NC
NC
NC
NC
SC
Unknown
Unknown
Unknown

Identifier Issuer

MEDICAOST PROVIDER NUMBER
WELLPATH
PHCS PROVIDER NUMBER
AETNA PPO/POS
Unknown
NC BXBS PROVIDER NUMBER
CIGNA
PARTNERS PROVIDER NUMBER
Unknown
Unknown
Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/07/2007

Provider Address

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