IndividualActive
Andrew Whitbeck, IDC
NPI 1710674841 · Independent Duty Corpsman · Groton, CT
Provider details
- NPI number
- 1710674841
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Practice location
702 Pleasant Valley Rd N Apt 309
Groton, CT 06340-2557
Phone: (508) 272-8969
Mailing address
702 Pleasant Valley Rd N Apt 309
Groton, CT 06340-2557
Registry dates
- Enumerated
- 2023-04-19
- Last updated
- 2023-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.