Individual
DR. GEORGE WEI LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SAINT GEORGES AVE, SUITE 216, RAHWAY, NJ 07065-2764
(732) 396-0777
(732) 396-9222
Mailing address
1600 SAINT GEORGES AVE, SUITE 216, RAHWAY, NJ 07065-2764
(732) 396-0777
(732) 396-9222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06993300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05197322
ECFMG
—
01
—
190367
IM BOARD NUMBER
—
01
—
25MA06993300
STATE LICENSE
NJ
01
—
D07707900
CDS
NJ
Enumeration date
03/23/2006
Last updated
03/07/2023
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