IndividualActive
Jeffrey Klimczak, IDC
NPI 1972813616 · Independent Duty Corpsman · Groton, CT
Provider details
- NPI number
- 1972813616
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Mailing address
159 Trout Ave
Groton, CT 06349
Registry dates
- Enumerated
- 2010-10-15
- Last updated
- 2010-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.