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Logan Delaney Waterman
Surgical Physician Assistant in Springfield, Massachusetts
NPI 1386378685

Logan Delaney Waterman is a Surgical Physician Assistant based in Springfield, MA and is specialized in Surgical. Logan Delaney Waterman practices in Springfield, MA. The NPI Number for Logan Delaney Waterman is 1386378685 and holds a License No. (Massachusetts).

The current practice location address for Logan Delaney Waterman is 271 Carew St, Springfield, MA and can be reached out via phone at 413-748-9000.

Location: 271 Carew St, Springfield, MA, 01104-2377
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386378685
Provider Name
Logan Delaney Waterman
Credential
Provider Entity Type
Individual
Gender
Female
Address
271 Carew St, Springfield, MA, 01104-2377
Phone Number
413-748-9000
Fax Number
Provider Enumeration Date
07/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
271 Carew St
City
Springfield
State
Massachusetts
Zip
01104-2377
Phone Number
413-748-9000
Fax Number
person
Provider Business Mailing Address Details
Address
271 Carew St
City
Springfield
State
Massachusetts
Zip
01104-2377
Phone Number
413-748-9000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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