NPI 1568870012

Jeremy Long, BOCPD

Practitioner Pedorthist Baltimore, MD

Practice location

Address: 2503 Albion Ave, Baltimore, MD 21214-2526
Phone: (828) 246-5040

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X

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Registry record

NPI: 1568870012
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jul 2014
Record last updated: 29 Jul 2014

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.