JOHN A LONG

KENSINGTON, MD
NPI1821062704
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MD  D22299)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: VA  0101031814)
2085R0202X Radiology, Diagnostic Radiology
(Licence: DC  MD33242)
Enumeration Date2006-02-15
Last Update Date2012-12-06
Business Address
Mr. JOHN A LONG MD
10810 CONNECTICUT AVE KAISER PERMANENTE KENSINGTON MEDICAL CENTER
KENSINGTON, MD 20895-2138
Phone number: 301-929-7100
Mailing Address
Mr. JOHN A LONG MD
2101 E JEFFERSON ST KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD 20852-4908
Phone number: 301-816-2424