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Individual
JENNIFER B LOGAN
Active
Individual
JENNIFER B LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD461707
PA
208000000X
Pediatrics Physician
TRN20430
FL
2080P0214X
Pediatric Pulmonology Physician
Primary
MD461707
PA
Other
Enumeration date
06/30/2014
Last updated
01/19/2024
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