Longchamp, Alban Etienne Pierre
Longchamp, Alban Etienne Pierre is an individual health care provider with primary practice located at 55 Fruit St , Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Longchamp, Alban Etienne Pierre can be contacted via phone (857) 200-4554.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 1024136 | Massachusetts |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 1024136 | Massachusetts |
Profile Details
| NPI number | 1568142685 |
|---|---|
| LBN Legal business name | Longchamp, Alban Etienne Pierre |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2023 |
| Last updated | Dec 18th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568142685 | NPPES |
| Massachusetts | MEDICAID | 110228520A |
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