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Individual

RAYMOND J LOGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 COOPER PLZ, THE HOSPITALIST TEAM, CAMDEN, NJ 08103-1461
(856) 342-3150
(856) 968-8418
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MA08096500
NJ
208M00000X
Hospitalist Physician
Primary
25MA08096500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01077798700
AMERICHOICE
05
0111473
NJ
01
1353064
AETNA
01
2736635
UNITED HEALTH CARE
01
2764520000
AMERIHEALTH, HMO, KEYSTON, IBC
01
43146
UNIVERSITH HEALTH
01
5069321
CIGNA
01
60025119
HORIZON NJ HEALTH
01
P00381178
RAIL ROAD MEDICARE
Enumeration date
07/21/2006
Last updated
11/20/2019
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