IndividualActive
Andrew Dye, IDC
NPI 1801273107 · Independent Duty Corpsman · Groton, CT
Provider details
- NPI number
- 1801273107
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
87 Burningtree Dr
Groton, CT 06340-3103
Phone: (253) 217-6346
Approximate (ZIP-level) locationGet directions
Mailing address
87 Burningtree Dr
Groton, CT 06340-3103
Registry dates
- Enumerated
- 2015-05-06
- Last updated
- 2015-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.