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Andrew Blalock, IDC — NPI 1447557657, Niantic, CT | NPI Central

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NPI 1447557657

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Andrew Blalock, IDC

NPI 1447557657 · Independent Duty Corpsman · Niantic, CT

Provider details

NPI number: 1447557657
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: No

Practice location

97 W Main St

Apt 47

Niantic, CT 06357-1749

Phone: (305) 492-5489

More CT providers

Mailing address

97 West Main St

Niantic, CT 06357-1731

Registry dates

Enumerated: 2011-02-24
Last updated: 2011-02-24

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