| Dr Harry Long PA | |
|
330 Ratzer Road Wayne NJ 07470 | |
| (973) 694-5101 | |
| (973) 305-1355 |
| Full Name | Dr Harry Long PA |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 330 Ratzer Road, Wayne, New Jersey |
| Authorized Official Name and Position | Harry Austin Long (PRESIDENT) |
| Authorized Official Contact | 9736945101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Harry Long PA 330 Ratzer Road Wayne NJ 07470 Ph: (973) 694-5101 | Dr Harry Long PA 330 Ratzer Road Wayne NJ 07470 Ph: (973) 694-5101 |
| NPI Number | 1427153865 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427153865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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