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Naval Branch Health Clinic New England — NPI 1265780936, Groton, CT | NPI Central

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NPI 1265780936

OrganizationActive

Naval Branch Health Clinic New England

NPI 1265780936 · Health Service Clinic/Center · Groton, CT

Provider details

NPI number: 1265780936
Entity type: Organization
Primary specialty: Health Service Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Mark Mammoth, Medical Staff Professional Services(860) 694-2377
License: R170002 (MD)

Specialties & taxonomies

Health Service Clinic/CenterPrimary261QH0100XLicense R170002 (MD)
Ambulatory Health Care Facilities

Practice location

1 Wahoo Ave

Groton, CT 06349-2324

Phone: (860) 694-4725

Approximate (ZIP-level) locationGet directions

More CT providers

Mailing address

Po Box 600

Groton, CT 06349-5600

Other names (DBA / former)

Other name: Naval Ambulatory Care Center

Registry dates

Enumerated: 2012-08-28
Last updated: 2012-08-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.