SearchConnecticutIndependent Duty Corpsman

Simon Makuchowski, IDC

NPI 1356633598 · on the registry since 2011 · sole proprietor

Practice

Address
4 Oakridge Dr
Gales Ferry, CT 06335
Phone
(609) 731-5613

Registry record

Primary taxonomy
Independent Duty Corpsman
1710I1002X
Sex
Male
Record last updated
2011-05-06

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