Provider First Line Business Practice Location Address:
NAVAL UNDERSEA MEDICAL INSTITUTE
Provider Second Line Business Practice Location Address:
BLDG 159 NLON SUBMARINE BASE
Provider Business Practice Location Address City Name:
GROTON
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06349
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-817-9545
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/17/2006