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Individual

CAITLIN M LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2494 BERNVILLE RD, READING, PA 19605-9469
(610) 378-2117
(610) 378-2929
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056500
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103194869
PA
01
576804
MEDICARE
PA
Enumeration date
08/02/2013
Last updated
07/21/2022
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