Individual
DR. PETER LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
63 WINTHROP ST STE C1-C2, TAUNTON, MA 02780-6218
(508) 880-3223
(508) 822-8516
Mailing address
1 CREDIT UNION WAY FL 3, RANDOLPH, MA 02368-4633
(781) 961-3370
(781) 961-1291
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3664
MA
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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