Individual
MICHELLE T LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
830 HARRISON AVENUE, EVANS - GASTROENTEROLOGY, BOSTON, MA 02118
(617) 638-6525
Mailing address
801 ALBANY ST FL G, BOSTON, MA 02119-3791
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L-240075
MA
207RG0100X
Gastroenterology Physician
Primary
249390
MA
Other
Enumeration date
06/11/2009
Last updated
05/03/2021
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