NPI 1043388499
John D Long, MD
Practice location
- Address
- 14139 Potomac Mills Rd Kaiser Permanente Woodbridge Medical Center, Woodbridge, VA 22192-4644
- Phone
- (703) 490-8400
- Fax
- (703) 490-7635
- Mailing address
- 2101 E Jefferson St Kaiser Permanente Medicare Enrollment, Rockville, MD 20852-4908
Registered specialties
Obstetrics & Gynecology Physician
Primary
Registry record
- NPI
- 1043388499
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Dec 2006
- Record last updated
- 9 Nov 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.