Individual
MRS. SUSAN C LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
820 HARRISON AVENUE, DOWLING NORTH, 5108, BOSTON, MA 02118-0000
(617) 638-7062
(617) 638-7075
Mailing address
427 E 7TH ST, SOUTH BOSTON, MA 02127-4120
(617) 268-6120
(617) 268-6120
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2259254
MA
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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