JOSHUA DOUGLAS LONG

PROVIDENCE, RI
NPI1356183586
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: RI  LP06387)
Enumeration Date2024-06-10
Last Update Date2024-06-13
Business Address
JOSHUA DOUGLAS LONG MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4741
Mailing Address
JOSHUA DOUGLAS LONG MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-793-2695
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