Individual
MRS. VIDYA LOGANATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2457 E MAIN ST STE 1E, WATERBURY, CT 06705-2684
(203) 753-8477
Mailing address
2457 E MAIN ST STE 1E, WATERBURY, CT 06705-2684
(203) 753-8477
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
033583
CT
Other
Enumeration date
09/20/2006
Last updated
06/06/2019
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