U. S. Coast Guard Academy

NPI #1013001957 in New London, Connecticut

Provider Information

NPI Number
1013001957
Entity Type
Organization
Organization Name
U. S. Coast Guard Academy
Primary Specialty
Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date
Oct 3, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
15 MOHEGAN AVE
ZIP Code
06320-8100
Phone
(860) 444-8402

Authorized Official

Name
RAY A CHANEY
Title
CLINIC ADMINISTRATOR
Phone
(860) 701-6736

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Military/U.S. Coast Guard OutpatientMilitary/U.S. Coast Guard Outpatient

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