Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
B JACK LONGLEY, MD
ActiveB JACK LONGLEY, MD is a Dermatopathology healthcare provider located in MADISON, Wisconsin. NPI 1609835669 is currently active in the NPPES registry. Verify at CMS.
Dermatopathology · MADISON, WI
Registration Details
- NPI Number
- 1609835669
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2006 (20.415925981616 yrs)
- Last Updated
- Jan 15, 2021
- License
-
43952 (WI)
Practice Information
- Address
-
8 N PROSPECT AVEMADISON, WI, 537263936Browse WI providers · Browse ZIP 53726
- Phone
- 0000000000
- Primary Specialty
-
Dermatopathology
207ND0900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.