| Doctor Name: | MARIANNE T LONGACRE |
| NPI Number: | 1396776266 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | DO00537 |
| Business Practice Address: | 4459 Old Post Rd Charlestown, RI - 02813 |
| Business Phone Number: | 4013643900 |
| Business Fax Number: | 4013649815 |
| Mailing Address: | Po Box 188, CHARLESTOWN |
| State: | RI |
| Postal Code: | 02813 |
| Phone Number: | 4013643900 |
| Fax Number: | 4013649815 |
| NPI Enumeration Date: | 07/06/2006 |
| NPI Last Update Date: | 03/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | DO00537 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |