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Contact Information

JOHN LONG, MD
489 STATE ST
BANGOR, ME04401-6616
 Phone: 207-973-8305
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Diagnostic Ultrasound

2085U0001X
 

Neuroradiology

2085N0700X
 

Radiation Oncology

2085R0203X
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for JOHN LONG · (Male)

NPI Number 1750465217
Status Active
Credentials MD
Entity Individual
Enumeration date 10/24/2006
Last updated 07/15/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • ME License # 008259
  • ME Other 2323437 AETNA
  • ME Other 024275 ANTHEM
  • ME Other M80673 CIGNA
  • ME Other C66140 HPHC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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