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Individual

DR. MERRANDA LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
165 CAMBRIDGE ST, SUITE 302, BOSTON, MA 02114-2783
(617) 726-5050
Mailing address
165 CAMBRIDGE ST, SUITE 302, BOSTON, MA 02114-2783
(617) 726-5050

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT193474
PA
207RN0300X
Nephrology Physician
Primary
257545
MA

Other

Enumeration date
07/20/2008
Last updated
03/02/2015
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