IndividualActive
Charles Vancuren, IDC US NAVY
NPI 1942245014 · Independent Duty Corpsman · Groton, CT
Provider details
- NPI number
- 1942245014
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC US NAVY
- Sex
- Male
- Sole proprietor
- No
Practice location
73 Eastern Point Road
Uss Missouri Ssn 780
Groton, CT 06340
Phone: (860) 433-6284
Mailing address
73 Eastern Point Road
Groton, CT 06340
Registry dates
- Enumerated
- 2006-06-20
- Last updated
- 2008-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.