Individual
MR. GERALD LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
311 WALTON AVE, MOUNT LAUREL, NJ 08054-9579
(800) 774-5516
Mailing address
211 LAWRENCE LN, DELRAN, NJ 08075-1356
(856) 729-5266
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR26795800
NJ
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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