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Andrew Azevedo, IDC — NPI 1396268595, Kittery, ME | NPI Central

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NPI 1396268595

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Andrew Azevedo, IDC

NPI 1396268595 · Independent Duty Corpsman · Kittery, ME

Provider details

NPI number: 1396268595
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

402 Goodrich Ave

Kittery, ME 03904

Phone: (207) 438-4940

Approximate (ZIP-level) locationGet directions

More ME providers

Mailing address

402 Goodrich Avenue

Kittery, ME 03904

Additional practice locations (1)

159 Trout Ave
Groton, CT 06340
Phone: (860) 694-6450

Registry dates

Enumerated: 2017-07-19
Last updated: 2025-07-01
Certified: 2025-06-10

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