Long, Andrew Wallays

Long, Andrew Wallays is an individual health care provider with primary practice located at 725 North St , Pittsfield MA 01201-4109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Long, Andrew Wallays can be contacted via phone (413) 447-2451.

Contact Information

Primary practice address
725 North St Pittsfield MA 01201-4109
Phone: (413) 447-2451
Fax: (413) 496-6869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 274986 Massachusetts
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X D71136 Maryland

Profile Details

NPI number 1679747265
LBN Legal business name Long, Andrew Wallays
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2008
Last updated Aug 17th, 2018 - about 6 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 1679747265 NPPES
Other 51030 CAQH

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