Individual
WILLIAM F LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 HOSPITAL DR, ST JOHNSBURY, VT 05819-9210
(802) 748-8141
Mailing address
1315 HOSPITAL DR, PO BOX 905, ST JOHNSBURY, VT 05819-9210
(802) 748-8141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
068-0045710
VT
208D00000X
General Practice Physician
Primary
042-0009733
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1814
—
VT
05
—
3076026
—
NH
Enumeration date
08/11/2006
Last updated
04/05/2016
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