IndividualActive
Benjamin Grover, IDC
NPI 1144546847 · Independent Duty Corpsman · Groton, CT
Provider details
- NPI number
- 1144546847
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
159 Trout Avenue
Groton, CT 06340
Phone: (860) 694-2876
Approximate (ZIP-level) locationGet directions
Mailing address
24 Monroe Ln
Groton, CT 06340-2434
Registry dates
- Enumerated
- 2010-04-20
- Last updated
- 2010-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.