Branch Medical Clinic Lakehurst

NPI #1952509812 in Lakehurst, New Jersey

Provider Information

NPI Number
1952509812
Entity Type
Organization
Organization Name
Branch Medical Clinic Lakehurst
Subpart
Yes (part of a larger organization)
Parent Organization
NAVAL HEALTH CLINIC ANNAPOLIS
Primary Specialty
Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date
Jul 3, 2007
Last Updated
Dec 19, 2017

Practice Location

Address
BLDG 39 LANDSDOWNE ROAD
ZIP Code
08733-5006
Phone
(732) 323-7099

Authorized Official

Name
MR. WILLIAM MICHAEL CONDON
Title
NAVY MEDICINE UBO PROGRAM MANAGER
Phone
(240) 401-3643

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Military/U.S. Coast Guard OutpatientMilitary/U.S. Coast Guard Outpatient

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