IndividualActive
Anatoliy Gryshchenko, IDHS
NPI 1881358851 · Independent Duty Corpsman · Portsmouth, VA
Provider details
- NPI number
- 1881358851
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDHS
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
4000 Coast Guard Blvd
Portsmouth, VA 23703-2135
Phone: (757) 483-8710
Approximate (ZIP-level) locationGet directions
Mailing address
Uscgc Tampa
Apo, AA 23703
Registry dates
- Enumerated
- 2021-10-26
- Last updated
- 2021-10-26
- Certified
- 2021-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.