Individual
DR. ROSS DAVID LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST STE 226, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
300 GEORGE ST, NEW HAVEN, CT 06511-6624
(202) 785-4851
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
32133
NH
207P00000X
Emergency Medicine Physician
Primary
77522
CT
Other
Enumeration date
04/07/2020
Last updated
07/16/2024
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