Active NPIIndividual provider

Eliza J Long

Physician Assistant, Surgical in Waterbury, Connecticut

NPI Number1144054842
Practice location
3801 E Main St, Waterbury, CT 06705-3815
Fax
—
Last updated
August 27, 2024

Eliza Josephine Long is a Physician Assistant, Surgical based in Waterbury, CT. Eliza Josephine Long practices in Waterbury, CT. The NPI Number for Eliza Josephine Long is 1144054842. The current practice location address for Eliza Josephine Long is 3801 E Main St, Waterbury, CT 06705-3815 and can be reached out via phone at 203-709-4030.

Provider Profile Details

NPI Number
1144054842
Provider Name
Eliza Josephine Long
Provider Entity Type
Individual
Gender
Female
Address
3801 E Main St, Waterbury, CT 06705-3815
Phone Number
203-709-4030
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
August 27, 2024
Last Update Date
August 27, 2024
Certification Date
August 27, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
3801 E Main St
Waterbury, CT 06705-3815
Zip
06705-3815
Phone Number
203-709-4030
Waterbury, CT 06705Get directions →

Provider Business Mailing Address Details

Address
60 Broad St Apt 2A
Milford, CT 06460-3391
City
Milford
State
CT
Zip
06460-3391

License Information

Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Eliza J Long?

The NPI number of Eliza J Long is 1144054842. It was assigned on August 27, 2024 and is currently active in the NPPES registry.

What is the specialty of Eliza J Long?

Eliza J Long is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X).

Where does Eliza J Long practice?

The practice location is 3801 E Main St, Waterbury, CT 06705-3815. The office can be reached at 203-709-4030 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144054842 directly on the NPPES registry website.

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