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Organization

BRANCH MEDICAL CLINIC PORTSMOUTH

Active
Parent organization
NAVAL HEALTH CLINIC NEW ENGLAND
Organization subpart
Yes

Provider details

NPI number
Legal business name
NAVAL HEALTH CLINIC NEW ENGLAND
Authorized official
MR. WILLIAM MICHAEL CONDON (DHA FINANCIAL MANAGER)
(240) 401-3643
Entity
Organization

Contact information

Practice address
402 GOODRICH AVE, PORTSMOUTH, NH 03804-5000
(207) 438-1959
(207) 438-3860
Mailing address
402 GOODRICH AVE, PORTSMOUTH, NH 03804
(207) 438-1959
(207) 438-3860

Taxonomy

Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary

Other

Enumeration date
05/04/2006
Last updated
11/09/2022
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