John Long in Bangor - Body Imaging

John Long - NPI 1750465217

John Long is a Body Imaging in Bangor, Maine. John Long practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for John Long is 1750465217. The last update date is 2007-07-15.

John Long's current location address is 489 State St, Bangor, Maine. You can contact this provider via phone number 2079738305. The mailing address for John Long is 489 State St, Bangor, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name John Long
Address 489 State St, Bangor, Maine
Phone Number 2079738305
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1750465217
Provider Enumeration Date 2006-10-24
Last Updated Date 2007-07-15

Provider Mailing Address Detail

Address 489 State St
City Bangor
State Maine (ME)
Post Code 44016616
Phone Number 2079738305
Fax Number

Provider's Primary Taxonomy Detail

Speciality Body Imaging
Taxonomy 2085B0100X
Licence No 8259
Definition:
A Radiology doctor of Osteopathy that specializes in Body Imaging.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
M80673 ME CIGNA
C66140 ME HPHC
24275 ME ANTHEM
2323437 ME AETNA

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FAQs about John Long

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

The John Long has been issued the NPI (National Provider Identifier) 1750465217. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where John Long is located?

The John Long is situated at the following address: 489 State St, Bangor, ME, 44016616.

What is John Long's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for John Long is Body Imaging, and the taxonomy classification code that categorizes this area of expertise is 2085B0100X.

On what date did the John Long receive its 1750465217 assignment from the Centers for Medicare & Medicaid Services?

The John Long was assigned its 1750465217 by the Centers for Medicare & Medicaid Services on 2006-10-24.

As of what date was the information regarding John Long, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John Long, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-15.

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