Organization
BRUCE D LONG, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCINDA SANTIAGO (BILLING COORDINATOR)
(216) 363-2402
Entity
Organization
Contact information
Practice address
1730 W 25TH ST, 1200, CLEVELAND, OH 44113-3108
(216) 363-2402
Mailing address
1730 W 25TH ST, 1200, CLEVELAND, OH 44113-3108
(216) 363-2402
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
045388
OH
Other
Enumeration date
11/29/2007
Last updated
12/14/2007
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