IndividualActive
Bryar Green
NPI 1669155412 · Independent Duty Corpsman · Groton, CT
Provider details
- NPI number
- 1669155412
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
159 Trout Ave
Groton, CT 06340
Phone: (860) 694-2876
Approximate (ZIP-level) locationGet directions
Mailing address
132 North St Apt 69
Groton, CT 06340-3764
Registry dates
- Enumerated
- 2023-08-09
- Last updated
- 2023-08-09
- Certified
- 2023-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.