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DR. AIDAN ANGELO LONG MD

Allergy and Immunology

Boston, Massachusetts

Provider NPI: 1841280039

Provider Information:
DR. AIDAN ANGELO LONG MD


Practice Location:
55 FRUIT ST COX 201 BOSTON, MA 02114 US
Tel: 617-726-3850  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
MA72266

Other Provider Identifiers:

IssuerNumberStateType
TUFTS HEALTH PLAN072266MA01
BCBS MAJ11094MA01
3077799MA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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