Individual
BRUCE D LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 363-2402
(216) 363-2145
Mailing address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 363-2402
(216) 363-2145
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
045388
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0630697
—
OH
Enumeration date
12/09/2005
Last updated
04/19/2026
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