Individual
ALEXANDER LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 310, ALLENTOWN, PA 18103-6381
(610) 402-6890
(610) 402-6892
Mailing address
1605 N CEDAR CREST BLVD STE 411, ALLENTOWN, PA 18104-2323
(484) 330-1377
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA056921
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA056921
STATE LICENSE
PA
Enumeration date
06/30/2014
Last updated
06/07/2022
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