Mrs Milly H Long, MD | |
175 E Chester Pike, Ridley Park, PA 19078-2212 | |
(610) 595-6586 | |
(610) 595-6787 |
Full Name | Mrs Milly H Long |
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Gender | Female |
Speciality | Hospitalist |
Location | 175 E Chester Pike, Ridley Park, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1457683385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | MD040300L (Pennsylvania) | Primary |
Entity Name | Knd Development 59 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851620496 PECOS PAC ID: 3678602802 Enrollment ID: O20100909001110 |
Entity Name | Prospect Health Access Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737 |
Mailing Address | Practice Location Address |
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Mrs Milly H Long, MD 1350 Edgmont Ave, Ste 1500, Chester, PA 19013-3962 Ph: (610) 595-6586 | Mrs Milly H Long, MD 175 E Chester Pike, Ridley Park, PA 19078-2212 Ph: (610) 595-6586 |
Dr. Nkemdilim Obiorah Ezeife, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 175 E Chester Pike, Ridley Park, PA 19078 Phone: 610-595-6000 | |
Guofang Wang, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 175 E Chester Pike, Ridley Park, PA 19078 Phone: 610-595-6586 Fax: 610-595-6787 | |
Dr. Maksymilian A Kawalec, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 175 E Chester Pike, Ridley Park, PA 19078 Phone: 610-595-6586 Fax: 610-595-6787 |