Individual
BRIAN SCOTT DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1251 E MAIN ST, ANNVILLE, PA 17003
(717) 988-0570
(717) 232-8152
Mailing address
1251 E MAIN ST, ANNVILLE, PA 17003-1643
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD031602E
PA
208C00000X
Colon & Rectal Surgery Physician
Primary
MD031602E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001180754
—
PA
Enumeration date
08/07/2006
Last updated
01/18/2021
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