Individual
DR. JESSICA MARIE LOGHMANEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
308 WILLOW AVE, HOBOKEN, NJ 07030-3808
(201) 418-2840
Mailing address
303 WILLOW AVE, HOBOKEN, NJ 07030-3807
(201) 418-2840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TL32593
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325936
—
SC
Enumeration date
09/29/2009
Last updated
02/24/2021
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