Provider Demographics
NPI:1134112527
Name:LONG, JAMES DOWNEY (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DOWNEY
Last Name:LONG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:205 GRANDVIEW AVE
Mailing Address - Street 2:SUIE 210
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-1708
Mailing Address - Country:US
Mailing Address - Phone:717-763-9880
Mailing Address - Fax:717-737-2765
Practice Address - Street 1:423 N 21ST ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-2207
Practice Address - Country:US
Practice Address - Phone:717-763-9880
Practice Address - Fax:717-737-2765
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD059673L207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC74872Medicare UPIN