NPI | 1225243140 |
---|---|
Doing Business As | NATICK AHC |
Entity Type | Organization |
Authorized Contact | KENNETH TUFFY Ubo Manager 845-938-8239 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient |
Enumeration Date | 2007-05-14 |
Last Update Date | 2012-12-20 |