Long, Aidan Angelo
Long, Aidan Angelo is an individual health care provider with primary practice located at 55 Fruit St Cox 201, Boston MA 02114-2696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Long, Aidan Angelo can be contacted via phone (617) 726-3850.Contact Information
Primary practice address
55 Fruit St Cox 201
Boston MA 02114-2696
Phone: (617) 726-3850
Fax: (617) 724-0239
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 72266 | Massachusetts |
Profile Details
| NPI number | 1841280039 |
|---|---|
| LBN Legal business name | Long, Aidan Angelo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Apr 16th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841280039 | NPPES |
| Massachusetts | Other | 072266 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 3077799 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J11094 | TUFTS HEALTH PLAN |
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