IndividualActive
David Farque
NPI 1245479708 · Independent Duty Corpsman · Groton, CT
Provider details
- NPI number
- 1245479708
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
124 Locust Cir
Groton, CT 06340-3032
Phone: (860) 447-9231
Approximate (ZIP-level) locationGet directions
Mailing address
124 Locust Cir
Groton, CT 06340-3032
Registry dates
- Enumerated
- 2009-02-06
- Last updated
- 2009-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.