Dennis Buenaventura Custodio, INDEPENDENT DUTY HM - Groton, CT

Dennis Buenaventura Custodio, INDEPENDENTDUTYHM

Independent Duty Corpsman in Groton, Connecticut

NPI 1013264423

Dennis Buenaventura Custodio is a Independent Duty Corpsman based in Spanaway, CT and is specialized in Independent Duty Corpsman. Dennis Buenaventura Custodio practices in Groton, CT and has the professional credentials of INDEPENDENTDUTYHM. The NPI Number for Dennis Buenaventura Custodio is 1013264423 and holds a License No. (Connecticut).

The current practice location address for Dennis Buenaventura Custodio is 69 Trout Ave, Groton, CT and can be reached out via phone at 253-905-8239.

Location: 69 Trout Ave, Groton, CT, 98387-5841

NPI Number

1013264423

Provider Name

Dennis Buenaventura Custodio

Credential

INDEPENDENTDUTYHM

Provider Entity Type

Individual

Gender

Male

Address

69 Trout Ave, Groton, CT, 98387-5841

Phone Number

253-905-8239

Fax Number

Provider Enumeration Date

08/06/2012

Last Update Date

03/09/2024

Address

69 Trout Ave

City

Groton

State

Connecticut

Zip

06349

Phone Number

253-905-8239

Fax Number

Address

69 Trout Ave

City

Groton

State

Connecticut

Zip

06349

Phone Number

253-905-8239

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Independent Duty Corpsman

Taxonomy

1710I1002X

License No.

()

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

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