Individual provider · Type 1 NPI
Josiephina Castro Souza, DO
Military Health Care Provider · New London, CT
NPI number
1174585442
Active
Practice location
U.s.coast Guard Academy Medical, 15 Mohegan Ave
New London, CT 06320
Fax (860) 444-8413
Mailing address
PO Box 298
Mystic, CT 06355-0298
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | 20A6020 (CA) |
| Family Medicine Physician | 207Q00000X | 20A6020 (CA) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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About NPI 1174585442
Josiephina Castro Souza, DO's National Provider Identifier is 1174585442, issued on Apr 3, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in New London, CT. The record was last updated on Sep 11, 2025.