NPI | 1063716579 |
---|---|
Doing Business As | US NAVY |
Entity Type | Organization |
Authorized Contact | LYNNE BRODSKY Md 617-889-8580 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MA 179866) |
Additional Taxonomies | 281P00000X Chronic Disease Hospital (Licence: MA 179866) |
Enumeration Date | 2010-12-28 |
Last Update Date | 2010-12-28 |