United Stated Coast Guard

NPI #1023296597 in Buzzards Bay, Massachusetts

Provider Information

NPI Number
1023296597
Entity Type
Organization
Organization Name
United Stated Coast Guard
Primary Specialty
Clinic/Center
Enumeration Date
Feb 6, 2008
Last Updated
Feb 6, 2008

Practice Location

Address
5201 LEE RD
ZIP Code
02542-1313
Phone
(508) 968-6703

Authorized Official

Name
MRS. DANA MARIE PENDARVIS
Title
CORPSMAN
Phone
(508) 968-6703

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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