John Gerald Long in South Burlington - Pediatrics

John Gerald Long - NPI 1194739805

John Gerald Long is a Pediatrics in South Burlington, Vermont. John Gerald Long practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for John Gerald Long is 1194739805. The last update date is 2007-07-08.

John Gerald Long's current location address is 52 Timberlane, South Burlington, Vermont. You can contact this provider via phone number 8026582320 and fax number 8028636933. The mailing address for John Gerald Long is 52 Timberlane, South Burlington, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Name John Gerald Long
Address 52 Timberlane, South Burlington, Vermont
Phone Number 8026582320
Fax Number 8028636933
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1194739805
Provider Enumeration Date 2006-07-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 52 Timberlane
City South Burlington
State Vermont (VT)
Post Code 54037296
Phone Number 8026582320
Fax Number 8028636933

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
26V023 MVP
5016 VT --
5016 VT BLUE CROSS BLUE SHIELD

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FAQs about John Gerald Long

What is the unique 10-digit identification code assigned to John Gerald Long by the Centers for Medicare & Medicaid Services?

The John Gerald Long has been issued the NPI (National Provider Identifier) 1194739805, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of John Gerald Long?

The John Gerald Long is situated at 52 Timberlane, in the city of South Burlington, state of VT, with the zip code 54037296.

What is the area of specialization for John Gerald Long, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John Gerald Long is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.

On what date did John Gerald Long receive its 1194739805 assignment from the Centers for Medicare & Medicaid Services?

The John Gerald Long was assigned its 1194739805 on 2006-07-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to John Gerald Long most recently updated or revised?

The information pertaining to John Gerald Long, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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