JEREMY LONG BOCPD NPI 1568870012

NPI Information

Jeremy Long, BOCPD is a pedorthist in Baltimore, MD. The provider is an individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices. Jeremy Long, BOCPD NPI is 1568870012. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2503 ALBION AVE
BALTIMORE, MD
ZIP 21214-526
Phone: (828) 246-5040

The enumeration date for this NPI number is 7/29/2014 and was last updated on 7/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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