Dr. Robert Dale Long
Dermatologist
3 Hospital Dr
Lewisburg
, Pennsylvania 17837
Dr. Robert Dale Long
Dermatologist
3 Hospital Dr
Lewisburg
, Pennsylvania 17837
(570) 523-7736
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Robert Dale Long
- 3 Hospital Dr
- Lewisburg, PA
- Zip : 17837
- Fax : (570) 523-7736
- Phone : (570) 523-1109
Second Address
- Dr. Robert Dale Long
- 3 Hospital Dr
- Lewisburg, PA
- Zip : 17837
- Fax : (570) 523-7736
- Phone : (570) 523-1109
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | MD016589E | PA |
National Provider Identifier
| NPI | 1003870650 |
|---|---|
| Provider Name | Dr. Robert Dale Long |
| First Address | Lewisburg, PA 17837 |
| Second Address | Lewisburg, PA 17837 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/04/2006 |
| Last Update Date | 21/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02500700 | BLUE CROSS (01) | |
| C28931 | (02) | |
| LO70425 | BLUE SHIELD (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.