United States Coast Guard, Air Station Atlantic City

NPI #1962660340 in Pomona, New Jersey

Provider Information

NPI Number: 1962660340
Entity Type: Organization
Organization Name: United States Coast Guard, Air Station Atlantic City
Primary Specialty: Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date: Jun 2, 2008
Last Updated: Jun 2, 2008

Practice Location

Address: FAA TECH CENTER BLDG 350
Address 2: USCG MEDICAL DEPT
City: Pomona
State: New Jersey
ZIP Code: 08405
Phone: (609) 677-2007

Authorized Official

Name: CAMILLE P HAWKINS, PA-C
Title: MEDICAL OFFICER
Phone: (609) 677-2028

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Military/U.S. Coast Guard Outpatient — Military/U.S. Coast Guard Outpatient	261QM1100X	Primary

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