# UNITED STATES COAST GUARD, AIR STATION ATLANTIC CITY

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

## Provider details

- **NPI number:** 1962660340
- **Authorized official:** CAMILLE P HAWKINS PA-C (MEDICAL OFFICER)
- **Authorized official phone:** (609) 677-2028

## Contact information

- **Practice address:** FAA TECH CENTER BLDG 350, USCG MEDICAL DEPT, POMONA, NJ 08405
- **Practice address phone:** (609) 677-2007
- **Practice address fax:** (609) 677-2143
- **Mailing address:** FAA TECH CENTER BLDG 350, USCG MEDICAL DEPT, POMONA, NJ 08405
- **Mailing address phone:** (609) 677-2007
- **Mailing address fax:** (609) 677-2143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/02/2008
- **Last updated:** 06/02/2008