Individual provider · Type 1 NPI

Logan Joseph Massman

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1861189649 Active

Practice location

900 Walnut St
Philadelphia, PA 19107-5191

Mailing address

1401 Spruce St Apt 303
Philadelphia, PA 19102-4591

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1861189649

Logan Joseph Massman's National Provider Identifier is 1861189649, issued on Apr 20, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 6, 2023.