| NPI | 1962959478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J MUCCIARONE Commander / Oic Naval Undersea Med 860-694-6483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1710I1002X Military Health Care Provider, Independent Duty Corpsman |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |