US Navy
NPI #1750631685 in Groton, Connecticut
Provider Information
- NPI Number
- 1750631685
- Entity Type
- Organization
- Organization Name
- US Navy
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Sep 18, 2012
- Last Updated
- Sep 18, 2012
Practice Location
- Address
- 207 HICKORY DR
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06340-2946
- Phone
- (361) 522-5925
Authorized Official
- Name
- MR. ISMAEL ARTURO LOPEZ, SUB IDC
- Title
- SUB IDC
- Phone
- (361) 522-5925
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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