Organization
USCG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AARON E. FULTCHER CWO (CLINIC ADMINISTRATOR)
(410) 636-7506
Entity
Organization
Contact information
Practice address
2401 HAWKINS POINT RD, BALTIMORE, MD 21226-1797
(410) 636-7506
Mailing address
2401 HAWKINS POINT RD, BALTIMORE, MD 21226-1797
(410) 636-7506
Taxonomy
Speciality
Code
Description
License number
State
261QM1101X
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
Primary
—
—
Other
Enumeration date
08/13/2006
Last updated
08/22/2020
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