Individual
DR. JOSEPH M LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 DELAWARE AVE, MARION, OH 43302-6416
(740) 383-7778
Mailing address
# L-3652, COLUMBUS, OH 43260-6453
(740) 383-7927
(740) 383-7942
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35059838
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0933057
—
OH
Enumeration date
01/24/2006
Last updated
12/08/2017
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