Marcine Logue in Watertown - Family

Marcine Logue - NPI 1174581029

Marcine Logue is a Family in Watertown, Massachusetts. Marcine Logue practices all healthcare services and medical treatments related to Family. The NPI Number for Marcine Logue is 1174581029. The last update date is 2010-03-02.

Marcine Logue's current location address is 521 Mount Auburn St, Watertown, Massachusetts. You can contact this provider via phone number 6179269000 and fax number 6179267053. The mailing address for Marcine Logue is 521 Mount Auburn St, Watertown, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Marcine Logue
Address 521 Mount Auburn St, Watertown, Massachusetts
Phone Number 6179269000
Fax Number 6179267053
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1174581029
Provider Enumeration Date 2006-05-02
Last Updated Date 2010-03-02

Provider Mailing Address Detail

Address 521 Mount Auburn St
City Watertown
State Massachusetts (MA)
Post Code 24724191
Phone Number 6179269000
Fax Number 6179267053

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 196221
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
327964 MA --

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FAQs about Marcine Logue

What is the unique 10-digit identifier code assigned to Marcine Logue by the Centers for Medicare & Medicaid Services?

The Marcine Logue has been issued the NPI (National Provider Identifier) 1174581029 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Marcine Logue is physically located?

The Marcine Logue is situated at the following address: 521 Mount Auburn St, Watertown, MA 24724191.

What is Marcine Logue's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Marcine Logue is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1174581029 to Marcine Logue?

The Centers for Medicare & Medicaid Services originally issued the 1174581029 to Marcine Logue on 2006-05-02.

When was the information regarding Marcine Logue most recently updated?

The details pertaining to the Marcine Logue, including its address, specialty, and other relevant information, were last refreshed on 2010-03-02.

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