Uscg

NPI #1205957982 in Buzzards Bay, Massachusetts

Provider Information

NPI Number
1205957982
Entity Type
Organization
Organization Name
Uscg
Primary Specialty
Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date
Apr 2, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
5439 A LEMAY AVE.
ZIP Code
02542
Phone
(508) 968-6704

Authorized Official

Name
WYATT HELLEY
Title
HEALTH SERVICE TECHNICAN 3 CLASS
Phone
(508) 968-6704

Specialties & Taxonomy Codes

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

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