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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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