Organization
JOHN B LONG MD A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B LONG MD (CEO)
(415) 750-3887
Entity
Organization
Contact information
Practice address
3838 CALIFORNIA ST RM 612, SAN FRANCISCO, CA 94118-1508
(415) 750-3887
(415) 221-7052
Mailing address
3838 CALIFORNIA ST RM 612, SAN FRANCISCO, CA 94118-1508
(415) 750-3887
(415) 221-7052
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G40974
CA
Other
Enumeration date
11/30/2006
Last updated
01/23/2008
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