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Individual

BRIAN LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
6710A ROCKLEDGE DR STE 130, BETHESDA, MD 20817-2843
(301) 515-0900
Mailing address
14414 SENECA RD, DARNESTOWN, MD 20874-3332
(301) 768-2804

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0009947
MD

Other

Enumeration date
06/05/2025
Last updated
06/16/2025
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