Individual
JULIA Y LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 WORCESTER ST, WELLESLEY, MA 02481-5420
(781) 431-5400
Mailing address
230 WORCESTER ST, WELLESLEY, MA 02481-5420
(781) 431-5400
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
156300
MA
Other
Enumeration date
07/07/2006
Last updated
03/01/2016
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