Mark Anthony Logullo (NPI# 1528110079, PAC ID# 3577720713) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1528110079 |
| PAC ID by PECOS | 3577720713 |
| Professional Enrollment ID | I20120131000547 |
| Full Name | Mark Anthony Logullo |
| Address |
600 N Broad St Suite 19 Middletown DE 19709-1032 |
| Gender | M |
| Medical School | LIFE CHIROPRACTIC COLLEGE |
| Graduation Year | 1995 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 600 N Broad St, Suite 19, Middletown, DE 19709-1032 |
| Street Address |
600 N BROAD ST SUITE 19 |
| City | MIDDLETOWN |
| State | DE |
| Zip | 19709-1032 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stella C Ohanenye | Optometry | 600 N Broad St, 12 Star Vision Eye Care, Middletown, DE 19709-1032 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzy F Nashed | Psychiatry | 12 Pennington St, Suite 100, Middletown, DE 19709-1026 | |
| Sandra L Knauer King | Clinical Social Worker | Middletown Counseling Incorporated | 401 N Broad St, Middletown, DE 19709-1037 |
| Megan K Sartin | Clinical Social Worker | Middletown Counseling Incorporated | 401 N Broad St, Middletown, DE 19709-1037 |
| Elaine D Abrams | Clinical Social Worker | Middletown Counseling Incorporated | 401 N Broad St, Middletown, DE 19709-1037 |
| Sharon L Kimber | Clinical Social Worker | Middletown Counseling Incorporated | 401 N Broad St, Middletown, DE 19709-1037 |
| Altramece T Williams-staats | Clinical Social Worker | Middletown Counseling Incorporated | 401 N Broad St, Middletown, DE 19709-1037 |
| Jessica Lois Desrosiers | Psychologist, Clinical | 216 W Main St, Middletown, DE 19709-1041 | |
| Jennifer M Ewald | Clinical Social Worker | 115 N Broad St, Suite 4a, Middletown, DE 19709-1045 | |
| Marilyn L Lawson | Clinical Social Worker | 101 W Park Pl, Middletown, DE 19709-1324 | |
| Brittany A Rhoads | Nurse Practitioner | Hospital Medicine Associates LLC | 500 S Broad St, Middletown, DE 19709-1443 |
| Find all physicians in zip 19709 | |||
| City | MIDDLETOWN |
| Zip Code | 19709 |
| Specialty | CHIROPRACTIC |
| City + Specialty | MIDDLETOWN + CHIROPRACTIC |
Please comment or provide details below to improve the information on Mark Anthony Logullo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.