# USCG

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598778623
- **Authorized official:** MR. AARON E. FULTCHER CWO (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (410) 636-7506

## Contact information

- **Practice address:** 2401 HAWKINS POINT RD, BALTIMORE, MD 21226-1797
- **Practice address phone:** (410) 636-7506
- **Mailing address:** 2401 HAWKINS POINT RD, BALTIMORE, MD 21226-1797
- **Mailing address phone:** (410) 636-7506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1101X | Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/13/2006
- **Last updated:** 08/22/2020