Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | MD059673L | PA |
NPI | 1134112527 |
---|---|
Provider Name | Dr. James Downey Long |
First Address | Camp Hill, PA 17011-1708 |
Second Address | Camp Hill, PA 17011-2207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2005 |
Last Update Date | 03/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C74872 | (02) | PA |