Individual
SHAWN E LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1027 MEMORIAL DR, OAKLAND, MD 21550-4343
(301) 533-3300
(301) 533-3299
Mailing address
1027 MEMORIAL DR, OAKLAND, MD 21550-4343
(301) 533-3300
(301) 533-3299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20683
WV
207Q00000X
Family Medicine Physician
Primary
D0078630
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2005302000
—
WV
05
—
402362500
—
MD
Enumeration date
09/16/2006
Last updated
04/01/2020
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