| Organization Name: | US COAST GUARD |
| NPI Number: | 1619062015 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHILLIP ANDREW HERSHBERG (HS2) |
| Mailing Address: | 1 Munro Ave Cape May |
| State: | NJ US |
| Postal Code: | 082045000 |
| Phone Number: | 6098986610 |
| Fax Number: | 6098986962 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | 24720000X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |