IndividualActive
Adam Larson, IDC
NPI 1528512175 · Independent Duty Corpsman · New London, CT
Provider details
- NPI number
- 1528512175
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Mailing address
158 Hawthorne Dr
New London, CT 06320-4007
Registry dates
- Enumerated
- 2016-08-12
- Last updated
- 2016-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.