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Adam Larson, IDC — NPI 1528512175, New London, CT | NPI Central

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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

Practice location

158 Hawthorne Dr

17d

New London, CT 06320-4007

Phone: (920) 562-0770

More CT providers

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.