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1720823214
CHRISTIAN JOSEPH LOGAN
NUTLEY, NJ
NPI
1720823214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NJ 25MP00858500)
Enumeration Date
2024-06-27
Last Update Date
2024-06-27
Business Address
Mr. CHRISTIAN JOSEPH LOGAN PA-C
123 METRO BLVD
NUTLEY, NJ 07110-6101
Phone number: 973-761-9000
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Mailing Address
Mr. CHRISTIAN JOSEPH LOGAN PA-C
257 STIRLING RD
WATCHUNG, NJ 07069-5908
Phone number: 908-200-6537
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