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Individual

DR. THOMAS PATRICK LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
65 JIMMIE LEEDS ROAD, POMONA, NJ 08240
(609) 652-3444
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA07987800
NJ

Other

Enumeration date
05/18/2006
Last updated
07/08/2007
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