IndividualActive
Thomas Long, MD
NPI 1790725349 · Dermatology Physician · Providence, RI
Provider details
- NPI number
- 1790725349
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD06768 (RI)
Practice location
593 Eddy St
Apc-10
Providence, RI 02903-4923
Phone: (401) 444-7959
Fax: (401) 444-7144
Mailing address
593 Eddy St
Providence, RI 02903-4923
Registry dates
- Enumerated
- 2006-06-08
- Last updated
- 2007-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.