Robert Edward Dulong Jr., PA-C
Physician Assistant in Tampa, FL. Individual provider (NPI-1).
NPI number1720183775
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720183775
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert Edward Dulong Jr.
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 14, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
623 Superior AveTampa, FL 33606-4011
Phone 813-892-6394
Mailing address
623 Superior AveTampa, FL 33606-4011
Phone 813-892-6394
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