Christopher D Burley, SUBMARINE IDC
Military Health Care Provider, Independent Duty Corpsman in Groton, Connecticut
1558010280- Practice location
- 1 Wahoo Ave, Groton, CT 06349-2324
- Phone
- 860-694-4123
- Fax
- —
- Last updated
- March 21, 2022
Christopher David Burley is a Military Health Care Provider, Independent Duty Corpsman based in Groton, CT. Christopher David Burley practices in Groton, CT and has the professional credentials of SUBMARINE IDC. The NPI Number for Christopher David Burley is 1558010280. The current practice location address for Christopher David Burley is 1 Wahoo Ave, Groton, CT 06349-2324 and can be reached out via phone at 860-694-4123.
Provider Profile Details
- NPI Number
- 1558010280
- Provider Name
- Christopher David Burley
- Credential
- SUBMARINE IDC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Wahoo Ave, Groton, CT 06349-2324
- Phone Number
- 860-694-4123
- Primary Taxonomy
- Military Health Care Provider, Independent Duty Corpsman · 1710I1002X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 21, 2022
- Last Update Date
- March 21, 2022
- Certification Date
- March 10, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Wahoo Ave
Groton, CT 06349-2324 - City
- Groton
- State
- Connecticut
- Zip
- 06349-2324
- Phone Number
- 860-694-4123
Provider Business Mailing Address Details
- Address
- Po Box 159
Groton, CT 06349-5159 - City
- Groton
- State
- CT
- Zip
- 06349-5159
License Information
- License State
- CT
- Taxonomy
- Military Health Care Provider, Independent Duty Corpsman · 1710I1002X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Christopher D Burley, SUBMARINE IDC?
The NPI number of Christopher D Burley, SUBMARINE IDC is 1558010280. It was assigned on March 21, 2022 and is currently active in the NPPES registry.
What is the specialty of Christopher D Burley, SUBMARINE IDC?
Christopher D Burley, SUBMARINE IDC is registered under the primary taxonomy Military Health Care Provider, Independent Duty Corpsman (code 1710I1002X).
Where does Christopher D Burley, SUBMARINE IDC practice?
The practice location is 1 Wahoo Ave, Groton, CT 06349-2324. The office can be reached at 860-694-4123 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558010280 directly on the NPPES registry website.