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Organization
BRANCH MEDICAL CLINIC PHILADELPHIA
Active
Organization
BRANCH MEDICAL CLINIC PHILADELPHIA
Active
Parent organization
NAVAL HEALTH CLINIC ANNAPOLIS
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL HEALTH CLINIC ANNAPOLIS
Authorized official
WILLIAM M CONDON (BUMED UBO)
(240) 401-3643
Entity
Organization
Contact information
Practice address
4898 S BROAD ST, PHILADELPHIA, PA 19112-1320
(215) 897-8147
Mailing address
250 WOOD RD, ANNAPOLIS, MD 21402-1257
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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