Long, Thomas P

Long, Thomas P is an individual health care provider with primary practice located at 593 Eddy St Apc-10, Providence RI 02903-4923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Long, Thomas P can be contacted via phone (401) 444-7959.

Contact Information

Primary practice address
593 Eddy St Apc-10 Providence RI 02903-4923
Phone: (401) 444-7959
Fax: (401) 444-7144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD06768 Rhode Island

Profile Details

NPI number 1790725349
LBN Legal business name Long, Thomas P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 10th, 2007 - about 18 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 1790725349 NPPES
Rhode Island MEDICAID 7002204

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