1508831553 66 MDSS-SGSR

Military/U.S. Coast Guard Outpatient Clinic/Center

Active

Basic Information

Organization Name
66 MDSS-SGSR
Enumeration Date
February 22, 2006
Last Update
February 18, 2014
Authorized Official
THERESA MARIE MITCHELL
AIR FORCE UBO ANALYST
Phone: (703) 681-7613

Practice Location

Address
90 VANDENBERG DR
BLDG 1900
HANSCOM AFB, MA 017312104
Phone
(781) 377-1770
Fax
(781) 377-9840

Mailing Address

Address
90 VANDENBERG DR
BLDG 1900
HANSCOM AFB, MA 017312104
Phone
(781) 377-1770
Fax
(781) 377-9840

Specialties & Taxonomies

Specialty Code Classification License State Primary
Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center
Military and U.S. Coast Guard Ambulatory Procedure
261QM1101X Clinic/Center N/A N/A No
Military/U.S. Coast Guard Pharmacy
332000000X Military/U.S. Coast Guard Pharmacy N/A N/A No
Military/U.S. Coast Guard Outpatient Clinic/Center
Military/U.S. Coast Guard Outpatient
261QM1100X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
22-38029 01 MA NCPDP

Frequently Asked Questions

What is 66 MDSS-SGSR's NPI number?
66 MDSS-SGSR's NPI number is 1508831553.
Which doctor has NPI number 1508831553?
The doctor with NPI number 1508831553 is 66 MDSS-SGSR.
What is 66 MDSS-SGSR's practice address?
66 MDSS-SGSR's practice address is 90 VANDENBERG DR, BLDG 1900, HANSCOM AFB, MA, 017312104.
Which doctor practices at 90 VANDENBERG DR, BLDG 1900, HANSCOM AFB, MA, 017312104?
66 MDSS-SGSR practices at 90 VANDENBERG DR, BLDG 1900, HANSCOM AFB, MA, 017312104.
What is 66 MDSS-SGSR's phone number?
66 MDSS-SGSR's phone number is (781) 377-1770.
Who is (781) 377-1770?
(781) 377-1770 is the phone number for 66 MDSS-SGSR.
What is 66 MDSS-SGSR's specialty?
66 MDSS-SGSR's specialty is Military/U.S. Coast Guard Outpatient Clinic/Center.
What type of doctor is 66 MDSS-SGSR?
66 MDSS-SGSR is a Military/U.S. Coast Guard Outpatient Clinic/Center.
Is 66 MDSS-SGSR a Military/U.S. Coast Guard Outpatient?
Yes, 66 MDSS-SGSR is a Military/U.S. Coast Guard Outpatient.
Is 66 MDSS-SGSR still practicing?
Yes, 66 MDSS-SGSR is currently practicing.
Is 66 MDSS-SGSR accepting new patients?
66 MDSS-SGSR may be accepting new patients. Please call their office at (781) 377-1770 to inquire about availability.
Is NPI 1508831553 still active?
Yes, NPI 1508831553 is currently active.
Where does 66 MDSS-SGSR practice?
66 MDSS-SGSR practices in HANSCOM AFB, MA.