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Cody Shaw — NPI 1063973790, Groton, CT | NPI Central

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NPI 1063973790

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Cody Shaw

NPI 1063973790 · Independent Duty Corpsman · Groton, CT

Provider details

NPI number: 1063973790
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Independent Duty CorpsmanPrimary1710I1002X
Other Service Providers

Practice location

Numi

Trout Ave Building 83

Groton, CT 06340

Phone: (860) 694-2876

Approximate (ZIP-level) locationGet directions

More CT providers

Mailing address

5 Wells St

Groton, CT 06340-3336

Registry dates

Enumerated: 2019-03-26
Last updated: 2019-03-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.