Individual
DENISE DOROTHEA LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3633 ALBEMARLE ST NW, WASHINGTON, DC 20008-4215
(202) 546-6455
Mailing address
3633 ALBEMARLE ST NW, WASHINGTON, DC 20008-4215
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD037279
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/10/2009
Last updated
10/07/2010
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