Organization
UNITED STATES NAVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES J MUCCIARONE M.D. (COMMANDER / OIC NAVAL UNDERSEA MED)
(860) 694-6483
Entity
Organization
Contact information
Practice address
1 CRYSTAL LAKE RD, BLDG 159 NAVAL UNDERSEA MEDICAL INST. NAVSUBASE NLON, GROTON, CT 06349-2300
(860) 694-6483
Mailing address
1 CRYSTAL LAKE ROAD, BLDG 159 NAVAL UNDERSEA MEDICAL INST. NAVSUBASE NLON, GROTON, CT 06340
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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