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Individual

LOGAN FINEGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
54 BAKER AVENUE EXT STE 200, CONCORD, MA 01742-2137
(978) 369-5391
Mailing address
5308 TAYLOR POND LN, BEDFORD, MA 01730-4413

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN2306567
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2306567
MA

Other

Enumeration date
05/24/2018
Last updated
01/15/2020
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