IndividualActive
Christopher Burley, SUBMARINE IDC
NPI 1558010280 · Independent Duty Corpsman · Groton, CT
Provider details
- NPI number
- 1558010280
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- SUBMARINE IDC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
1 Wahoo Ave
Groton, CT 06349-2324
Phone: (860) 694-4123
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 159
Groton, CT 06349-5159
Registry dates
- Enumerated
- 2022-03-21
- Last updated
- 2022-03-21
- Certified
- 2022-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.