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Individual

RACHEL LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
130 FISHER RD STE 1-4, BERLIN, VT 05602-9000
(802) 371-4100
Mailing address
130 FISHER RD STE 1-4, BERLIN, VT 05602-9000

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
042.0014421
VT
390200000X
Student in an Organized Health Care Education/Training Program
2016-02197
NC

Other

Enumeration date
04/15/2015
Last updated
06/06/2019
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