Uscg Isc Boston
NPI #1578648093 in Boston, Massachusetts
Provider Information
- NPI Number
- 1578648093
- Entity Type
- Organization
- Organization Name
- Uscg Isc Boston
- Primary Specialty
- Clinic/Center - Military/U.S. Coast Guard Outpatient
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 427 COMMERCIAL STREET
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02109
- Phone
- (617) 223-3121
Authorized Official
- Name
- DR. DIANA RODRIGUEZ, MD
- Title
- CHIEF, HEALTH SERVICES DIVISION
- Phone
- (617) 223-3121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient |
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