Individual
GEOFFREY STEWART LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1890 METRO CENTER DR, RESTON, VA 20190-5222
(703) 709-1500
(703) 709-1697
Mailing address
1890 METRO CENTER DR, RESTON, VA 20190-5286
(703) 709-1500
(703) 709-1697
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101056289
VA
Other
Enumeration date
11/30/2006
Last updated
06/25/2021
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