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NPI Code Detail

MEDICARE: COLIN GERARD DELONG

MEDICARE: COLIN GERARD DELONG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician83586WI

General Provider Information

NPI Number : 1730611732
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLIN GERARD DELONG
Provider Business Mailing Address
First Line : 6064 DRISCOLL DR
Second Line :
City : MADISON
State : WI
Zip : 53718-3041
Country : US
Telephone Number : 717-599-0565
Fax Number :
Provider Business Practice Location Address
First Line : 225 GRANDVIEW AVE STE 303
Second Line :
City : CAMP HILL
State : PA
Zip : 17011-1740
Country : US
Telephone Number : 717-761-4141
Fax Number : 717-761-1456
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2017
Last Update Date : 03/06/2026

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Directions to “ COLIN GERARD DELONG ” Practice Location

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