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1962805432
LOGAN RECKORD SMITH
VOORHEES, NJ
NPI
1962805432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00345600)
Enumeration Date
2014-09-29
Last Update Date
2014-09-29
Business Address
LOGAN RECKORD SMITH PA-C
900 CENTENNIAL BLVD #202
VOORHEES, NJ 08043-4637
Phone number: 856-342-2034
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Mailing Address
LOGAN RECKORD SMITH PA-C
3130 W MASTER ST
PHILADELPHIA, PA 19121-4424
Phone number: 717-283-6162
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