person
Dr. Cody Michael Long, MD
Student in an Organized Health Care Education/Training Program in Philadelphia, Pennsylvania
NPI 1588292122

Cody Michael Long is a Student in an Organized Health Care Education/Training Program based in Philadelphia, PA. Cody Michael Long practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Cody Michael Long is 1588292122 and holds a License No. (Pennsylvania).

The current practice location address for Cody Michael Long is 800 Spruce St, Philadelphia, PA and can be reached out via phone at 215-829-5410.

Location: 800 Spruce St, Philadelphia, PA, 19107-6094
person
Provider Profile Details
NPI Number
1588292122
Provider Name
Cody Michael Long
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
800 Spruce St, Philadelphia, PA, 19107-6094
Phone Number
215-829-5410
Fax Number
Provider Enumeration Date
03/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
800 Spruce St
City
State
Zip
19107-6130
Phone Number
215-829-5410
Fax Number
person
Provider Business Mailing Address Details
Address
800 Spruce St
City
State
Zip
19107-6130
Phone Number
215-829-5410
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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