Individual
DR. TERESA MICHELL LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Mailing address
9 EDGAR ST, EAST ORANGE, NJ 07018-1909
(973) 220-9119
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NO08426700
NJ
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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