Individual
DR. ERIC MARTIN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 HIGHLAND AVE., LEWISTOWN, PA 17044
(717) 242-7473
(717) 242-7478
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD456900
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/09/2012
Last updated
08/23/2016
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