| NPI | 1265780936 |
|---|---|
| Other Name | NAVAL AMBULATORY CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK MAMMOTH Medical Staff Professional Services 860-694-2377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MD R170002) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |