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Jeremiah Decasteele — NPI 1508636366, Groton, CT | NPI Central

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Jeremiah Decasteele

NPI 1508636366 · Independent Duty Corpsman · Groton, CT

Provider details

NPI number: 1508636366
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Sex: Male
Sole proprietor: Yes

Practice location

63 Ohio Ave

Groton, CT 06340-6106

Phone: (631) 992-0705

More CT providers

Mailing address

63 Ohio Ave

Groton, CT 06340-6106

Registry dates

Enumerated: 2024-01-03
Last updated: 2024-01-03

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