Organization
LONG INTEGRATED MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS CONDA (BILLING MANAGER)
(410) 927-3510
Entity
Organization
Contact information
Practice address
7652 BELAIR RD STE A, BALTIMORE, MD 21236-4067
(410) 508-0722
Mailing address
7652 BELAIR RD STE A, BALTIMORE, MD 21236-4067
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
02/09/2022
Last updated
02/22/2022
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