Naval Branch Health Clinic New England
NPI #1265780936 in Groton, Connecticut
Provider Information
- NPI Number
- 1265780936
- Entity Type
- Organization
- Organization Name
- Naval Branch Health Clinic New England
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Aug 28, 2012
- Last Updated
- Aug 28, 2012
Practice Location
- Address
- 1 WAHOO AVE
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06349-2324
- Phone
- (860) 694-4725
Authorized Official
- Name
- MR. MARK MAMMOTH
- Title
- MEDICAL STAFF PROFESSIONAL SERVICES
- Phone
- (860) 694-2377
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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