Nancy Logan PA

NPI 1043300890 - Physician Assistant - 363AM0700X

NPI Details
NPI 1043300890
Gender Female
Enumeration Date 10/13/2006
Last Updated 05/19/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
300 STAFFORD STREET
SUITES 101, 154 & 161
SPRINGFIELD MA, 01104-2431, US
Phone (413) 732-1928
Fax (413) 734-1716
Business Location
300 STAFFORD STREET
SUITES 101, 154 & 161
SPRINGFIELD MA, 01104-2431, US
Phone (413) 732-1928
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Massachusetts
License Number 1756
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According to our database, Nancy Logan PA NPI is 1043300890, taxonomy code is 363AM0700X and license number is 1756, license state is located at Massachusetts. Nancy Logan PA physically located at 300 Stafford Street, Springfield MA, 01104-2431. NPI Number Nancy Logan PA has the Individual type.

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1043300890 NPI number is provided on an as is basis without warranty of any kind. 1043300890 is maintained by the National Plan & Provider Enumeration System. The contents of Nancy Logan PA are for informational purposes only.