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Individual

MARCINE LOGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
480 PLEASANT ST STE A300, WATERTOWN, MA 02472-2463
(617) 926-9000
(617) 926-7053
Mailing address
330 MT AUBURN ST, PARSONS 2, CAMBRIDGE, MA 02138-5597
(617) 926-9000
(617) 926-7053

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN196221
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0327964
MA
05
110014310A
MA
Enumeration date
05/02/2006
Last updated
03/31/2025
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