Organization
TODD J LONG, M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD J LONG M.D. (OWNER)
(434) 220-3420
Entity
Organization
Contact information
Practice address
676-A BERKMAR CIRCLE, CHARLOTTESVILLE, VA 22901-1464
(434) 220-3420
(434) 220-3422
Mailing address
676-A BERKMAR CIRCLE, CHARLOTTESVILLE, VA 22901-1464
(434) 220-3420
(434) 220-3422
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101052923
VA
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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