Uscg Sector Delaware Bay
NPI #1740307099 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1740307099
- Entity Type
- Organization
- Organization Name
- Uscg Sector Delaware Bay
- Primary Specialty
- Military Health Care Provider
- Enumeration Date
- Mar 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1 WASHINGTON AVE
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19147-4335
- Phone
- (215) 271-4816
Authorized Official
- Name
- JIVONNE NIKELL PRIOLEAU-GREEN
- Title
- HEALTH SERVICE TECHNICIAN
- Phone
- (215) 271-4816
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
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