Branch Medical Clinic Earle

NPI #1477750990 in Colts Neck, New Jersey

Provider Information

NPI Number
1477750990
Entity Type
Organization
Organization Name
Branch Medical Clinic Earle
Subpart
Yes (part of a larger organization)
Parent Organization
NAVAL HEALTH CLINIC ANNAPOLIS
Primary Specialty
Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date
Jun 28, 2007
Last Updated
Dec 19, 2017

Practice Location

Address
201 STATE ROUTE 34 S
ZIP Code
07722-1902
Phone
(732) 866-2300

Authorized Official

Name
MR. WILLIAM MICHAEL CONDON
Title
NAVY MEDICINE UBO PROGRAM MANAGER
Phone
(240) 401-3643

Specialties & Taxonomy Codes

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

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