Uscg

NPI #1598778623 in Baltimore, Maryland

Provider Information

NPI Number: 1598778623
Entity Type: Organization
Organization Name: Uscg
Primary Specialty: Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure
Enumeration Date: Aug 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 2401 HAWKINS POINT RD
City: Baltimore
State: Maryland
ZIP Code: 21226-1797
Phone: (410) 636-7506

Authorized Official

Name: MR. AARON E. FULTCHER, CWO
Title: CLINIC ADMINISTRATOR
Phone: (410) 636-7506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Military and U.S. Coast Guard Ambulatory Procedure — Military and U.S. Coast Guard Ambulatory Procedure	261QM1101X	Primary

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