Individual
MISS CAROLYN B LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
330 BROOKLINE AVE, BETH ISRAEL DEACONESS MEDICAL CENTER, YAMINS 219, BOSTON, MA 02215-5400
(617) 667-3364
(617) 667-5013
Mailing address
330 BROOKLINE AVE, BETH ISRAEL DEACONESS MEDICAL CENTER, YAMINS 219, BOSTON, MA 02215-5400
(617) 667-3364
(617) 667-5013
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2283866
MA
Other
Enumeration date
08/22/2016
Last updated
03/05/2024
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