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Individual
RAYMOND J LOGUE
Active
Individual
RAYMOND J LOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA08096500
NJ
208M00000X
Hospitalist Physician
Primary
25MA08096500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01077798700
AMERICHOICE
—
05
—
0111473
—
NJ
01
—
1353064
AETNA
—
01
—
2736635
UNITED HEALTH CARE
—
01
—
2764520000
AMERIHEALTH, HMO, KEYSTON, IBC
—
01
—
43146
UNIVERSITH HEALTH
—
01
—
5069321
CIGNA
—
01
—
60025119
HORIZON NJ HEALTH
—
01
—
P00381178
RAIL ROAD MEDICARE
—
Enumeration date
07/21/2006
Last updated
11/20/2019
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