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Baldemar Villarreal, IDC — NPI 1346092160, Groton, CT | NPI Central

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NPI 1346092160

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Baldemar Villarreal, IDC

NPI 1346092160 · Independent Duty Corpsman · Groton, CT

Provider details

NPI number: 1346092160
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Independent Duty CorpsmanPrimary1710I1002X
Other Service Providers

Practice location

Bldg 159 Trout Ave

Groton, CT 06340

Phone: (210) 815-0930

Approximate (ZIP-level) locationGet directions

More CT providers

Mailing address

60 Arrowood Dr

Groton, CT 06340-2544

Registry dates

Enumerated: 2024-04-04
Last updated: 2024-04-04
Certified: 2024-04-02

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