Organization
US COAST GUARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO D COLE CHIEF HEALTH SERVICE (HSC)
(202) 372-4102
Entity
Organization
Contact information
Practice address
4807 KING JOHN WAY, UPPER MARLBORO, MD 20772-5983
(202) 372-4102
Mailing address
4807 KING JOHN WAY, UPPER MARLBORO, MD 20772-5983
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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