Individual
DR. RICHARD WILLIAM LONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 E 2ND ST, ERIE, PA 16507-1537
(814) 453-6751
(814) 454-0925
Mailing address
120 E 2ND ST, ERIE, PA 16507-1537
(814) 453-6751
(814) 454-0925
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD041795E
PA
Other
Enumeration date
11/23/2005
Last updated
07/08/2007
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