U. S. COAST GUARD ACADEMY

NEW LONDON, CT
NPI1013001957
Entity TypeOrganization
Authorized ContactRAY A CHANEY
Clinic Administrator
860-701-6736
Organization Subpart ?No
Primary Taxonomy261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient
Enumeration Date2006-10-03
Last Update Date2020-08-22