Provider Demographics
NPI:1356318331
Name:NAPOLITANO, MICHAEL
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:NAPOLITANO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BUILDING 76 2ND DECK NAVAL SUBMARINE BASE NLON
Mailing Address - Street 2:NAVAL SUBMARINE SUPPORT CENTER GROTON
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06349
Mailing Address - Country:US
Mailing Address - Phone:860-694-3505
Mailing Address - Fax:
Practice Address - Street 1:BUILDING 76 2ND DECK NAVAL SUBMARINE BASE NLON
Practice Address - Street 2:NAVAL SUBMARINE SUPPORT CENTER GROTON
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06349
Practice Address - Country:US
Practice Address - Phone:860-694-3505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman