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Individual

DR. ROBERT JAMES LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(714) 306-2136
Mailing address
480 CENTRAL AVE, JBPHH, HI 96860-4908

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
85223
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0101272514
VA

Other

Enumeration date
04/11/2013
Last updated
11/12/2025
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