Individual provider · Type 1 NPI

Logan Delaney Waterman

Surgical Physician Assistant · Springfield, MA

NPI number 1386378685 Active

Practice location

2 Medical Center Dr Ste 309
Springfield, MA 01107-1271

Call (413) 794-8020 Map

Mailing address

280 Chestnut St Fl 2
Springfield, MA 01199-1001

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1386378685

Logan Delaney Waterman's National Provider Identifier is 1386378685, issued on Jul 12, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Springfield, MA. The record was last updated on Dec 16, 2025.