| United States Coast Guard | |
|
15 Mohegan Ave New London CT 06320-8100 | |
| (860) 444-8402 | |
| (860) 444-8413 |
| Full Name | United States Coast Guard |
|---|---|
| Speciality | Clinic/center |
| Location | 15 Mohegan Ave, New London, Connecticut |
| Authorized Official Name and Position | Maria Inez Dickinson (HEALTH SERVICES TECHNICAN) |
| Authorized Official Contact | 8604490681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| United States Coast Guard 22 Monroe Ln Groton CT 06340-2434 Ph: (860) 449-0681 | United States Coast Guard 15 Mohegan Ave New London CT 06320-8100 Ph: (860) 444-8402 |
| NPI Number | 1578548699 |
|---|---|
| Provider Enumeration Date | 12/13/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578548699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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