CODY MICHAEL LONG

PHILADELPHIA, PA
NPI1588292122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-30
Last Update Date2020-03-30
Business Address
Dr. CODY MICHAEL LONG MD
800 SPRUCE ST
PHILADELPHIA, PA 19107-6130
Phone number: 215-829-5410
Mailing Address
Dr. CODY MICHAEL LONG MD
305 S 11TH ST APT 1R
PHILADELPHIA, PA 19107-6094
Phone number: 856-417-1859
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