JONATHAN LOGAN

Dr JONATHAN LOGAN is a male medical professional, specializing in Allergy/immunology. He graduated in 1961.

Contact

201 PARRISH ST
CANANDIGUA
NY
144241727

Tel: 5853946070

JONATHAN LOGAN Information

Npi 1609871573
Pac Id 5991836496
Professional Enrollment Id I20100628000450
Last Name LOGAN
First Name JONATHAN
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1961
Primary Specialty ALLERGY/IMMUNOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 201 PARRISH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City CANANDIGUA
State NY
Zip Code 144241727
Phone Number 5853946070
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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