Provider Demographics
NPI:1326225079
Name:LONG, WILLIAM DONALD III (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DONALD
Last Name:LONG
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 SEARS DR STE 202
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-3510
Mailing Address - Country:US
Mailing Address - Phone:201-575-2810
Mailing Address - Fax:888-440-7089
Practice Address - Street 1:1 SEARS DR STE 202
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-3510
Practice Address - Country:US
Practice Address - Phone:015-752-8102
Practice Address - Fax:888-440-2810
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-24
Last Update Date:2025-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09675500207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine