USCG SECTOR DELAWARE BAY NPI 1740307099

NPI Information

USCG SECTOR DELAWARE BAY is a military health care provider in Philadelphia, PA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. USCG SECTOR DELAWARE BAY NPI is 1740307099. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 WASHINGTON AVE
PHILADELPHIA, PA
ZIP 19147-335
Phone: (215) 271-4816
Fax: (215) 271-4817

The provider's authorized official is Jivonne Nikell Prioleau-green .
The authorized official title is Health Service Technician and has the following contact phone number (215) 271-4816.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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