Individual
RALPH JAMES LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
326 WASHINGTON ST, NORWICH, CT 06360-2740
(860) 889-8331
Mailing address
61 ATTAWAN RD, NIANTIC, CT 06357-3635
(845) 222-4246
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
11387
CT
363LA2100X
Acute Care Nurse Practitioner
F432281-01
NY
Other
Enumeration date
08/29/2022
Last updated
01/10/2023
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