Branch Medical Clinic Groton

NPI #1972564243 in Groton, Connecticut

Provider Information

NPI Number: 1972564243
Entity Type: Organization
Organization Name: Branch Medical Clinic Groton
Subpart: Yes (part of a larger organization)
Parent Organization: NAVAL HEALTH CLINIC NEW ENGLAND
Primary Specialty: Clinic/Center - Military/U.S. Coast Guard Outpatient
Enumeration Date: Mar 28, 2006
Last Updated: Nov 17, 2017

Practice Location

Address: 1 WAHOO AVE
Address 2: BOX 600, CODE 42G
City: Groton
State: Connecticut
ZIP Code: 06340-2324
Phone: (860) 694-2556

Authorized Official

Name: WILLIAM M CONDON
Title: BUMED UBO
Phone: (240) 401-3643

Specialties & Taxonomy Codes

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

Similar Providers

Individual Providers

Provider Name	Specialty	City
DR. Katy L. Reynolds, M.D.	Clinic/Center - Military/U.S. Coast Guard Outpatient	New London	AI Deep Dive
DR. Robert John Kish, OD	Optometrist - Corneal and Contact Management	Groton	AI Deep Dive
Anthony Romania, M.D.	Ophthalmology	Groton	AI Deep Dive

Organizations

Provider Name	Specialty	City
U. S. Coast Guard Academy	Clinic/Center - Military/U.S. Coast Guard Outpatient	New London	AI Deep Dive
U.s. Coast Guard	Clinic/Center - Military/U.S. Coast Guard Outpatient	New London	AI Deep Dive

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