Individual
DR. JUDITH A. LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
423 GUARDIAN DRIVE, 1201 BLOCKLEY HALL, PHILADELPHIA, PA 19104-6021
(215) 898-4311
(215) 573-8778
Mailing address
423 GUARDIAN DRIVE, 1201 BLOCKLEY HALL, PHILADELPHIA, PA 19104-6021
(215) 898-4311
(215) 573-8778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-060790-L
PA
Other
Enumeration date
08/11/2006
Last updated
10/20/2015
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