Organization
PEDIATRIC ASSOICATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM W LONG M.D (OWNER)
(614) 837-7337
Entity
Organization
Contact information
Practice address
7750 DILEY ROAD SUITE A, CANAL WINCHESTER, OH 43110-7758
(614) 837-7337
(614) 837-7335
Mailing address
7750 DILEY ROAD SUITE A, CANAL WINCHESTER, OH 43110-7758
(614) 837-7337
(614) 837-7335
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0198781
—
OH
Enumeration date
09/20/2005
Last updated
01/14/2025
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