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Parker Logue
NPI 1255140943 · on the registry since 2025
Practice
- Address
- 20 Fox Rd
Waltham, MA 02451 - Phone
- (508) 975-1299
- Organisation at this address
- Clearhaven Recovery Center
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts