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NPI Code Detail

MEDICARE: DR. JAMES E LONG M.D.

MEDICARE:  DR. JAMES E LONG  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician0101059000VA

General Provider Information

NPI Number : 1164485488
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES E LONG M.D.
Provider Business Mailing Address
First Line : 8316 ARLINGTON BLVD STE 650
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-5216
Country : US
Telephone Number : 703-888-2565
Fax Number : 703-573-0664
Provider Business Practice Location Address
First Line : 8316 ARLINGTON BLVD STE 650
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-5216
Country : US
Telephone Number : 703-888-2565
Fax Number : 703-573-0664
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2006
Last Update Date : 07/21/2022

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Directions to “ DR. JAMES E LONG M.D.” Practice Location

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