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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CHRISTIAN JOSEPH LOGAN, PA-C

Active Sole Proprietor

MR. CHRISTIAN JOSEPH LOGAN, PA-C is a Medical Physician Assistant healthcare provider located in NUTLEY, New Jersey. NPI 1720823214 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · NUTLEY, NJ

Registration Details

NPI Number
1720823214
Provider Type
Individual
Gender
Male
NPI Issued
Jun 27, 2024 (2.1116095026865 yrs)
Last Updated
Jun 27, 2024
License
25MP00858500 (NJ)
Sole Proprietor
Yes

Practice Information

Address
123 METRO BLVD
NUTLEY, NJ, 071106101
Browse NJ providers · Browse ZIP 07110
Phone
9737619000
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in NUTLEY, NJ

Name Credential NPI
MS. LARA KOTHARI PA-C 1598707788
MR. PRADOSH VARGHESE 1063927812
TESSA DAIDONE PA 1750052999
DELANEY KATHERINE KLINGER PA-C 1477375087
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.