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Organization
436TH MEDGRP-DOVER
Active
Organization
436TH MEDGRP-DOVER
Active
Parent organization
436TH MEDGRP-DOVER
Other names
Dover AFB MTF
Organization subpart
Yes
Provider details
NPI number
Legal business name
436TH MEDGRP-DOVER
Authorized official
JEN LEWANDOWSKI (AIR FORCE UBO ANALYST)
(703) 817-4030
Entity
Organization
Contact information
Practice address
300 TUSKEGEE BLVD, DOVER AFB, DE 19902-5003
(302) 677-2649
(302) 677-2051
Mailing address
300 TUSKEGEE BLVD, DOVER AFB, DE 19902-5003
(302) 677-2649
(302) 677-2051
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
DE
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
—
DE
332000000X
Military/U.S. Coast Guard Pharmacy
—
NULL
Other
Enumeration date
04/10/2006
Last updated
06/16/2025
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