Individual
CONNOR LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2455
(781) 624-8000
Mailing address
100 CALUMET ST APT 2, BOSTON, MA 02120-3651
(402) 580-8970
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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