Individual
NATHANIEL ADAM LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4618
(207) 662-6254
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-4618
(207) 662-6254
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
293751
MA
207R00000X
Internal Medicine Physician
MD29225
ME
208M00000X
Hospitalist Physician
Primary
MD29225
ME
Other
Enumeration date
06/04/2022
Last updated
07/07/2025
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