Individual
DR. SELINA ANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-3112
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-3112
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
75628
MA
Other
Enumeration date
08/31/2006
Last updated
09/10/2007
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