DR. Martha Louise Logan, M.D.

NPI #1568576494 in Broomall, Pennsylvania

Provider Information

NPI Number: 1568576494
Entity Type: Individual
Name: DR. Martha Louise Logan, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Aug 18, 2006
Last Updated: Jan 20, 2010

Practice Location

Address: 2000 SPROUL RD
Address 2: SUITE 300
City: Broomall
State: Pennsylvania
ZIP Code: 19008-3509
Phone: (610) 359-1355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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