Individual
DR. TODD J LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 BERKMAR CIR, CHARLOTTESVILLE, VA 22901-1464
(434) 220-3420
(434) 220-3422
Mailing address
17 N MEDICAL PARK DR, FISHERSVILLE, VA 22939-2344
(540) 213-7720
(540) 213-7481
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101052923
VA
Other
Enumeration date
09/22/2006
Last updated
07/07/2020
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