| John P Long Jr, MD | |
|
2000 Washington St, White Building 443, Newton, MA 02462-1650 | |
| (617) 527-1716 | |
| (617) 965-9446 |
| Full Name | John P Long Jr |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 2000 Washington St, Newton, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568460541 | NPI | - | NPPES |
| 3052257 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 55260 (Massachusetts) | Primary |
| Entity Name | Massachusetts General Physicians Organization Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
| Entity Name | The General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
| Mailing Address | Practice Location Address |
|---|---|
| John P Long Jr, MD 2000 Washington St, White Building 443, Newton, MA 02462-1650 Ph: (617) 527-1716 | John P Long Jr, MD 2000 Washington St, White Building 443, Newton, MA 02462-1650 Ph: (617) 527-1716 |
Jeffrey S Lamont, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2000 Washington St, Ste 443, Newton, MA 02462 Phone: 617-527-1716 Fax: 617-965-9446 | |
George D Kornitzer, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2000 Washington St, Ste 443, Newton, MA 02462 Phone: 617-527-1716 Fax: 617-965-9446 | |
Dr. Ned Saltzman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2000 Washington St, Suite 660, Newton, MA 02462 Phone: 617-332-0116 |