Whalio Doctors

NPI 1043388499

John D Long, MD

Practitioner Obstetrics & Gynecology Physician Woodbridge, VA

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
Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 0101043730 (VA)

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.