OrganizationActive
Comdt(cg-1122) U.S. Caost Guard
NPI 1053406348 · Other Technician · Washington, DC
Provider details
- NPI number
- 1053406348
- Entity type
- Organization
- Primary specialty
- Other TechnicianTechnologists, Technicians & Other Technical Service Providers
- Authorized official
- Yusuf Williams, Health Services Technician
- License
- 24720000X (DC)
Practice location
2100 2nd St Sw
Suite 5314
Washington, DC 20593-0002
Phone: (757) 856-2230
Fax: (757) 856-2276
Mailing address
2100 2nd St Sw
Washington, DC 20593-0002
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.