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Organization
TRICARE MEDICAL CLINIC SUFFOLK
Active
Organization
TRICARE MEDICAL CLINIC SUFFOLK
Active
Parent organization
NAVAL MEDICAL CENTER PORTSMOUTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAVAL MEDICAL CENTER PORTSMOUTH
Authorized official
WILLIAM M CONDON (BUMED UBO)
(240) 401-3643
Entity
Organization
Contact information
Practice address
1317 BALLAHACK RD, CHESAPEAKE, VA 23322-2499
(703) 681-9522
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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