| James E Long, Md, Pc | |
|
8316 Arlington Blvd Ste 650 Fairfax VA 22031-5216 | |
| (170) 388-82565 | |
| Not Available |
| Full Name | James E Long, Md, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8316 Arlington Blvd Ste 650, Fairfax, Virginia |
| Authorized Official Name and Position | James Long (OWNER) |
| Authorized Official Contact | 7038882565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James E Long, Md, Pc 8316 Arlington Blvd Ste 650 Fairfax VA 22031-5216 Ph: (170) 388-82565 | James E Long, Md, Pc 8316 Arlington Blvd Ste 650 Fairfax VA 22031-5216 Ph: (170) 388-82565 |
| NPI Number | 1508386483 |
|---|---|
| Provider Enumeration Date | 06/22/2017 |
| Last Update Date | 06/22/2017 |
| Medicare PECOS PAC ID | 5395019517 |
|---|---|
| Medicare Enrollment ID | O20170926003386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508386483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | James Eugene Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164485488 PECOS PAC ID: 2163421579 Enrollment ID: I20100914000181 |
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