Organization
BRANCH MEDICAL CLINIC GROTON
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
WILLIAM M CONDON (BUMED UBO)
(240) 401-3643
Entity
Organization
Contact information
Practice address
1 WAHOO AVE, BOX 600, CODE 42G, GROTON, CT 06340-2324
(860) 694-2556
(860) 694-4843
Mailing address
PO BOX 600, GROTON, CT 06349-5600
(860) 694-2556
(860) 694-4843
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
CT
Other
Enumeration date
03/28/2006
Last updated
11/17/2017
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