SearchConnecticutIndependent Duty Corpsman

Justin Tanco, IDC

NPI 1255183067 · on the registry since 2024

Practice

Address
Bldg. 159 Trout Ave
Groton, CT 06349
Phone
(860) 694-2876

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Sex
Male
Record last updated
2024-04-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut