Individual
SARAH S. LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 A ST, PHILADELPHIA, PA 19134-1043
(215) 427-5201
(215) 427-8389
Mailing address
1200 ROSE GLEN RD, GLADWYNE, PA 19035-1322
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
MD013155E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006655540001
—
PA
Enumeration date
07/07/2006
Last updated
07/09/2007
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