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1790725349
THOMAS P LONG
PROVIDENCE, RI
NPI
1790725349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: RI MD06768)
Enumeration Date
2006-06-08
Last Update Date
2007-07-10
Business Address
Dr. THOMAS P LONG MD
593 EDDY ST APC-10
PROVIDENCE, RI 02903-4923
Phone number: 401-444-7959
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Mailing Address
Dr. THOMAS P LONG MD
593 EDDY ST APC-10
PROVIDENCE, RI 02903-4923
Phone number: 401-444-7959
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