Individual
STEPHEN R DELONG
Active
Individual
STEPHEN R DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
MD021983E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009515820013
—
PA
01
—
00166977000
INDEPENDENCE BLUE CROSS
PA
01
—
DE139699
HIGHMARK
PA
Enumeration date
10/07/2005
Last updated
07/29/2008
Update your record
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