Individual
DR. LOGAN BENJAMIN GREENBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 PLAIN STREET 3RD FLOOR SUITE 101, PROVIDENCE, RI 02902-3436
(401) 444-5504
Mailing address
372 CENTRAL PARK W APT 18R, NEW YORK, NY 10025-8212
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
330544
NY
2080P0205X
Pediatric Endocrinology Physician
LP06489
RI
Other
Enumeration date
04/03/2021
Last updated
07/09/2025
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