MS. Logan Nora Destiny Gonsalves, MD is a student in an organized health care education training program in Stamford, CT. The provider is 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. MS. Logan Nora Destiny Gonsalves, MD NPI is 1588306120. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1 HOSPITAL PLZ
STAMFORD, CT
ZIP 06902-602
Phone: (203) 276-1000
Fax: (203) 276-7020
The enumeration date for this NPI number is 4/13/2022 and was last updated on 4/13/2022.