Organization
AGAPE FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA R LONG MD (OWNER/PHYSICIAN)
(717) 270-0335
Entity
Organization
Contact information
Practice address
410 CUMBERLAND ST, LEBANON, PA 17042-5351
(717) 270-0335
(717) 270-9740
Mailing address
410 CUMBERLAND ST, LEBANON, PA 17042-5351
(717) 270-0335
(717) 270-9740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-064156L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01391101
CAPITAL BLUE CROSS
—
05
—
01711849
—
PA
01
—
129891
HEALTH AMERICA/ASSURANCE
—
01
—
15097
GEISINGER HEALTH PLAN
—
01
—
1684763
HIGHMARK BLUE SHIELD
—
01
—
5130980
HEALTHGUARD
—
01
—
85419
AETNA
—
01
—
L019072
BLUE CROSS/BLUE SHIELD
—
Enumeration date
07/21/2005
Last updated
08/22/2020
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