Individual
MARK ANTHONY LOGULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D,C.
Contact information
Practice address
600 N BROAD ST, SUITE 19, MIDDLETOWN, DE 19709-1032
(302) 378-5441
(302) 378-3452
Mailing address
600 N BROAD ST, SUITE 19, MIDDLETOWN, DE 19709-1032
(302) 378-5441
(302) 378-3452
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1999210007
DE
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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