United States Navy
NPI #1962959478 in Groton, Connecticut
Provider Information
- NPI Number
- 1962959478
- Entity Type
- Organization
- Organization Name
- United States Navy
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Enumeration Date
- Sep 1, 2016
- Last Updated
- Sep 1, 2016
Practice Location
- Address
- 1 CRYSTAL LAKE RD
- Address 2
- BLDG 159 NAVAL UNDERSEA MEDICAL INST. NAVSUBASE NLON
- City
- Groton
- State
- Connecticut
- ZIP Code
- 06349-2300
- Phone
- (860) 694-6483
Authorized Official
- Name
- DR. JAMES J MUCCIARONE, M.D.
- Title
- COMMANDER / OIC NAVAL UNDERSEA MED
- Phone
- (860) 694-6483
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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