Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Logan B Long, PA-C

Individual provider Physician Assistant · NPI 1245180306

Logan B Long, PA-C is a Physician Assistant in Deptford, New Jersey. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1132 Cooper St
Deptford, NJ 08096-3014
Phone: (856) 848-8060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1245180306
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 29, 2026
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026
Mailing addressPo Box 22, Lederach, PA 19450-0022

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