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NPI 1265817175

IndividualActive

Adam Badillo, IDC

NPI 1265817175 · Independent Duty Corpsman · Groton, CT

Provider details

NPI number: 1265817175
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: No
License: F4477436 (TX)

Practice location

600 Meridian Street Ext Apt 1415

Groton, CT 06340-4160

Phone: (619) 717-1658

More CT providers

Mailing address

600 Meridian Street Ext Apt 1415

Groton, CT 06340-4160

Registry dates

Enumerated: 2015-07-22
Last updated: 2015-07-22

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

Adam Badillo, IDC — NPI 1265817175, Groton, CT | NPI Central