Healthcare Provider Details

I. General information

NPI: 1558296707
Provider Name (Legal Business Name): LOGOS CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BROADWAY STE 14
CAMBRIDGE MA
02142-1187
US

IV. Provider business mailing address

1 BROADWAY STE 14
CAMBRIDGE MA
02142-1187
US

V. Phone/Fax

Practice location:
  • Phone: 351-300-6622
  • Fax: 351-207-4125
Mailing address:
  • Phone: 617-902-0917
  • Fax: 351-207-4125

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. LOGAN ANTHONY FRANK
Title or Position: CEO
Credential: MD
Phone: 617-902-0917