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Contact Information

PAUL P LOGRASSO, DO
175 MADISON AVE
MOUNT HOLLY, NJ08060-2038
 Phone: 609-261-7095
 Fax: 609-261-3751
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for PAUL P LOGRASSO · (Male)

NPI Number 1134118029
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/14/2005
Last updated 06/04/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MB004496100
  • NJ Medicaid 0060241
Hospital affiliation(s)
  • LOURDES MEDICAL CENTER OF BURLINGTON COUNTY - (Acute Care)
    218A SUNSET ROAD
    WILLINGBORO, NJ 08046
  • OUR LADY OF LOURDES MEDICAL CENTER - (Acute Care)
    1600 HADDON AVENUE
    CAMDEN, NJ 08103
  • VIRTUA MEMORIAL HOSPITAL OF BURLINGTON COUNTY - (Acute Care)
    175 MADISON AVE
    MOUNT HOLLY, NJ 08060
  • VIRTUA WEST JERSEY HOSPITALS BERLIN - (Acute Care)
    WHITEHORSE PIKE AND TOWNSEND AVENUE
    BERLIN, NJ 08009
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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