person
Dr. Timothy Leo Long, MD
Student in an Organized Health Care Education/Training Program in Boston, Massachusetts
NPI 1972362242

Timothy Leo Long is a Student in an Organized Health Care Education/Training Program based in Boston, MA. Timothy Leo Long practices in Boston, MA and has the professional credentials of MD. The NPI Number for Timothy Leo Long is 1972362242 and holds a License No. (Massachusetts).

The current practice location address for Timothy Leo Long is 330 Brookline Ave, Boston, MA and can be reached out via phone at 617-667-7000.

Location: 330 Brookline Ave, Boston, MA, 02215-5400
person
Provider Profile Details
NPI Number
1972362242
Provider Name
Timothy Leo Long
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
330 Brookline Ave, Boston, MA, 02215-5400
Phone Number
617-667-7000
Fax Number
Provider Enumeration Date
03/18/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
330 Brookline Ave
City
State
Zip
02215-5400
Phone Number
617-667-7000
Fax Number
person
Provider Business Mailing Address Details
Address
330 Brookline Ave
City
State
Zip
02215-5400
Phone Number
617-667-7000
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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