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Andre Marin, SUB IDC — NPI 1649578915, Groton, CT | NPI Central

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NPI 1649578915

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Andre Marin, SUB IDC

NPI 1649578915 · Independent Duty Corpsman · Groton, CT

Provider details

NPI number: 1649578915
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: SUB IDC
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Independent Duty CorpsmanPrimary1710I1002X
Other Service Providers

Practice location

17 Cypress Ln

Groton, CT 06340-3004

Phone: (216) 256-3186

Approximate (ZIP-level) locationGet directions

More CT providers

Mailing address

17 Cypress Ln

Groton, CT 06340-3004

Registry dates

Enumerated: 2011-03-10
Last updated: 2011-03-10

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