Individual
TIMOTHY JOHN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10000 BAY PINES BLVD, BAY PINES, FL 33744-8200
(727) 398-6661
Mailing address
PO BOX 14623, READING, PA 19612-4623
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD431040
PA
Other
Enumeration date
03/07/2007
Last updated
06/06/2023
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