Individual
VANDANA R LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
71 OMEGA DR # D, OMEGA PROFESSIONAL CENTER, NEWARK, DE 19713-2063
(302) 283-3300
(302) 283-3321
Mailing address
4745 OGLETOWN STANTON RD, MEDICAL ARTS PAVILLION, NEWARK, DE 19713-2067
(302) 283-3300
(302) 283-3321
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C10008041
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000146802
—
DE
Enumeration date
07/20/2006
Last updated
07/09/2007
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