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Individual

MRS. MARIA ELENA LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
800 HADDONFIELD RD, CHERRY HILL, NJ 08002-2604
(856) 663-7690
(856) 663-9269
Mailing address
17 SHADOW OAK LN, MEDFORD, NJ 08055-9135
(609) 346-1887

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00241500
NJ
363A00000X
Physician Assistant
MA054346
PA

Other

Enumeration date
11/02/2010
Last updated
01/10/2025
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