United States Coast Guard
NPI #1578548699 in New London, Connecticut
Provider Information
- NPI Number
- 1578548699
- Entity Type
- Organization
- Organization Name
- United States Coast Guard
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Dec 13, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 15 MOHEGAN AVE
- City
- New London
- State
- Connecticut
- ZIP Code
- 06320-8100
- Phone
- (860) 444-8402
Authorized Official
- Name
- MRS. MARIA INEZ DICKINSON
- Title
- HEALTH SERVICES TECHNICAN
- Phone
- (860) 449-0681
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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