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Daniel Roberts, IDC — NPI 1619153285, Groton, CT | NPI Central

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Daniel Roberts, IDC

NPI 1619153285 · Independent Duty Corpsman · Groton, CT

Provider details

NPI number: 1619153285
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Independent Duty CorpsmanPrimary1710I1002X
Other Service Providers

Practice location

159 Trout Ave

Groton, CT 06349-5159

Phone: (860) 694-2876

Fax: (860) 694-3874

Approximate (ZIP-level) locationGet directions

More CT providers

Mailing address

Po Box 159

Groton, CT 06349-5159

Registry dates

Enumerated: 2008-01-14
Last updated: 2008-01-14

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