IndividualActive
Dien Tang
NPI 1659715548 · Independent Duty Corpsman · Groton, CT
Provider details
- NPI number
- 1659715548
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 1659715548 (CT)
Specialties & taxonomies
Other Service Providers
Practice location
159 Trout Avenue
Groton, CT 06349
Phone: (978) 821-5791
Approximate (ZIP-level) locationGet directions
Mailing address
159 Trout Avenue
Groton, CT 06349
Registry dates
- Enumerated
- 2013-04-22
- Last updated
- 2026-02-17
- Certified
- 2026-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.