Basic Information
| Provider Information | |||||||||
| NPI: | 1467487439 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LONG | ||||||||
| FirstName: | KEITH LINTON | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 24 OAK ST | ||||||||
| Address2: | |||||||||
| City: | BELMONT | ||||||||
| State: | MA | ||||||||
| PostalCode: | 024783007 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7817567243 | ||||||||
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| Practice Location | |||||||||
| Address1: | WINCHESTER HOSPITAL | ||||||||
| Address2: | 41 HIGHLAND AVENUE | ||||||||
| City: | WINCHESTER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 01890 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7817567243 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 74770 | MA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.