Individual
LOGAN STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
46 ALBION ST, BRIDGEPORT, CT 06605-2602
(203) 330-6000
Mailing address
290 BAXTER LN, MILFORD, CT 06460-6813
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6945
CT
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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