Healthcare Provider Details
I. General information
NPI: 1275853251
Provider Name (Legal Business Name): NATIONAL NAVAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/02/2010
Last Update Date: 06/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4400 E WEST HWY APT 1125
BETHESDA MD
20814-4513
US
IV. Provider business mailing address
4400 E WEST HWY APT 1125
BETHESDA MD
20814-4513
US
V. Phone/Fax
- Phone: 908-251-7493
- Fax:
- Phone: 908-251-7493
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 286500000X |
| Taxonomy | Military Hospital |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DANIEL
B
SEEGER
Title or Position: PHYSICIAN INTERN
Credential: M.D.
Phone: 908-251-7493