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
—
—
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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