Individual
MS. ANNE M LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-2430
Mailing address
68 TEMPLE RD, WALTHAM, MA 02452-7808
(781) 893-7712
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
137404
MA
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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