Individual
RENEE MARIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
175 N. BEACON STREET, WATERTOWN, MA 02472
(617) 924-3434
Mailing address
149 RUSSELL HILL RD, ASHBURNHAM, MA 01430-1315
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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