Search › Connecticut › 1710I1002X
Christopher Burley, SUBMARINE IDC
NPI 1558010280 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1 Wahoo Ave
Groton, CT 06349 - Phone
- (860) 694-4123
- Organisation at this address
- Branch Medical Clinic Groton
Naval Health Clinic New England
Naval Branch Health Clinic New EnglandInferred from a shared address, not stated in the registry. - Clinicians at this address
- 122
Registry record
- Primary taxonomy
- 1710I1002X
1710I1002X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-03-21
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