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Contact Information

EDWIN T LONG, MD
1 BOONE RD
BREMERTON, WA98312-1894
 Phone: 360-475-4334
 Fax: 360-475-4426
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for EDWIN T LONG · (Male)

NPI Number 1659351260
Status Active
Credentials MD
Entity Individual
Enumeration date 01/19/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • VA License # 0101057130
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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