Logue, Marcine

Logue, Marcine is an individual health care provider with primary practice located at 480 Pleasant St Ste A300 , Watertown MA 02472-2463. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Logue, Marcine can be contacted via phone (617) 926-9000.

Contact Information

Primary practice address
480 Pleasant St Ste A300 Watertown MA 02472-2463
Phone: (617) 926-9000
Fax: (617) 926-7053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN196221 Massachusetts

Profile Details

NPI number 1174581029
LBN Legal business name Logue, Marcine
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Mar 31st, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174581029 NPPES
Massachusetts MEDICAID 110014310A
Massachusetts MEDICAID 0327964

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