Logue, Andrew Douglas

Logue, Andrew Douglas is an sole proprietor health care provider with primary practice located at 20 Nassau St Suite 513, Princeton NJ 08542-4509. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Forensic Psychiatry is his primary health care specialty. Logue, Andrew Douglas can be contacted via phone (609) 683-9791.

Contact Information

Primary practice address
20 Nassau St Suite 513 Princeton NJ 08542-4509
Phone: (609) 683-9791
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X MA49090 New Jersey
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MA49090 New Jersey

Profile Details

NPI number 1447241377
LBN Legal business name Logue, Andrew Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447241377 NPPES
New Jersey MEDICAID 6150209

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