Robert F Burgos, IDC
Military Health Care Provider, Independent Duty Corpsman in Groton, Connecticut
1619347317- Practice location
- 1 Wahoo Ave, Groton, CT 06349-2324
- Phone
- 860-694-5464
- Fax
- —
- Last updated
- December 19, 2025
Robert Fitzgerald Burgos is a Military Health Care Provider, Independent Duty Corpsman based in Groton, CT. Robert Fitzgerald Burgos practices in Groton, CT and has the professional credentials of IDC. The NPI Number for Robert Fitzgerald Burgos is 1619347317 and holds a License No. 2339933345 (CT). The current practice location address for Robert Fitzgerald Burgos is 1 Wahoo Ave, Groton, CT 06349-2324 and can be reached out via phone at 860-694-5464.
Provider Profile Details
- NPI Number
- 1619347317
- Provider Name
- Robert Fitzgerald Burgos
- Credential
- IDC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Wahoo Ave, Groton, CT 06349-2324
- Phone Number
- 860-694-5464
- Primary Taxonomy
- Military Health Care Provider, Independent Duty Corpsman · 1710I1002X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 7, 2015
- Last Update Date
- December 19, 2025
- Certification Date
- December 19, 2025
- 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
- 860-694-5464
Provider Business Mailing Address Details
- Address
- 1 Wahoo Ave
Groton, CT 06349-2324 - City
- Groton
- State
- CT
- Zip
- 06349-2324
- Phone Number
- 860-694-7529
License Information
- License Number
- 2339933345
- 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 Robert F Burgos, IDC?
The NPI number of Robert F Burgos, IDC is 1619347317. It was assigned on October 7, 2015 and is currently active in the NPPES registry.
What is the specialty of Robert F Burgos, IDC?
Robert F Burgos, IDC is registered under the primary taxonomy Military Health Care Provider, Independent Duty Corpsman (code 1710I1002X), licensed in CT under license number 2339933345.
Where does Robert F Burgos, IDC practice?
The practice location is 1 Wahoo Ave, Groton, CT 06349-2324. The office can be reached at 860-694-5464 (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 1619347317 directly on the NPPES registry website.