Tanika R Long Anesthesiology
701 N Clayton St, Wilmington, DE 19805-3165


Tanika R Long is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1710934641. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 4587676408. The medical credential is MD. The primary specialty is ANESTHESIOLOGY. The organization is PREMIER ANESTHESIA OF DELAWARE LLC. The address is 701 N Clayton St, Wilmington, DE 19805-3165. The zip code is 19805.


Tanika R Long · 701 N Clayton St, Wilmington, DE 19805-3165

Nation Provider ID 1710934641
PAC ID by PECOS 4587676408
Professional Enrollment ID I20131206001039
Last Name LONG
First Name TANIKA
Middle Name R
Gender F
Credential MD
Medical School Name HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 2002
Primary Specialty ANESTHESIOLOGY
Primary Specialty PREMIER ANESTHESIA OF DELAWARE LLC
Phone Number 3024214100
Group Practice PAC ID 8224267364
Number of Group Practice Members 28
Address 701 N CLAYTON ST
WILMINGTON, DE 198053165
Claims Based Hospital Affiliation