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Individual
ROBERT THOMAS LONG
Active
Individual
ROBERT THOMAS LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT019422
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568025
GATEWAY HEALTH PLAN
—
01
—
2070657
HIGHMARK BLUE SHIELD
—
01
—
3546063000
INDEPENDENCE BLUE CROSS
—
01
—
4626140
CIGNA HEALTHCARE
—
01
—
47241
GEISINGER HEALTH PLAN
—
01
—
50081213
KEYSTONE HEALTH PLAN CENTRAL
—
01
—
5500503
AETNA PPO
—
01
—
6687477
AETNA HMO
—
Enumeration date
10/06/2008
Last updated
12/18/2008
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