John D Long JR. MD

NPI 1043388499 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1043388499
Gender Male
Enumeration Date 12/02/2006
Last Updated 11/09/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
14139 POTOMAC MILLS RD
KAISER PERMANENTE WOODBRIDGE MEDICAL CENTER
WOODBRIDGE VA, 22192-4644, US
Phone (703) 490-8400
Fax (703) 490-7635
Business Location
2101 E JEFFERSON ST
KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE MD, 20852-4908, US
Phone (301) 816-2424
Fax
Toxanomy
Taxonomy Code 207V00000X
License State Virginia
License Number 0101043730
Remove 1043388499 NPI Number
 

According to our database, Dr. John D Long JR. MD NPI is 1043388499, taxonomy code is 207V00000X and license number is 0101043730, license state is located at Virginia. John D Long JR. MD physically located at 14139 Potomac Mills Rd, Woodbridge VA, 22192-4644. NPI Number John D Long JR. MD has the Individual type.

Sponsored links

1043388499 NPI number is provided on an as is basis without warranty of any kind. 1043388499 is maintained by the National Plan & Provider Enumeration System. The contents of John D Long JR. MD are for informational purposes only.