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NPI 1912299157

IndividualActive

Adam Ray, IDC

NPI 1912299157 · Independent Duty Corpsman · Groton, CT

Provider details

NPI number: 1912299157
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: Yes

Practice location

163 Ledgewood Rd

Apt 405

Groton, CT 06340-6611

Phone: (903) 517-6146

More CT providers

Mailing address

163 Ledgewood Rd

Groton, CT 06340-6611

Registry dates

Enumerated: 2011-05-06
Last updated: 2011-05-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Adam Ray, IDC — NPI 1912299157, Groton, CT | NPI Central