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NPI Code Detail

MEDICARE: JAMES NICHOLAS LOGOTHETIS M.D.

MEDICARE: JAMES NICHOLAS LOGOTHETIS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease Physician25MA03545100NJ

General Provider Information

NPI Number : 1740279124
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES NICHOLAS LOGOTHETIS M.D.
Provider Business Mailing Address
First Line : 283 APPLEGARTH RD
Second Line :
City : MONROE TWP
State : NJ
Zip : 08831-3737
Country : US
Telephone Number : 609-655-1046
Fax Number : 609-655-3830
Provider Business Practice Location Address
First Line : 283 APPLEGARTH RD
Second Line :
City : MONROE TWP
State : NJ
Zip : 08831-3737
Country : US
Telephone Number : 609-655-1046
Fax Number : 609-655-3830
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 07/08/2007

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