IndividualActive
Christopher Smith, SUBMARINE IDC
NPI 1376194274 · Independent Duty Corpsman · Groton, CT
Provider details
- NPI number
- 1376194274
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SUBMARINE IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
Uss San Juan (ssn 751)
Groton, CT 06349
Phone: (910) 650-4616
Approximate (ZIP-level) locationGet directions
Mailing address
36 Bayberry Hill Rd
Norwich, CT 06360-1435
Registry dates
- Enumerated
- 2019-09-23
- Last updated
- 2019-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.