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Individual

MORGAN GRACE LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
471 CENTER ST, LUDLOW, MA 01056-2733
(413) 625-3500
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9314
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110198030A
MA
Enumeration date
03/20/2023
Last updated
02/09/2026
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