Andre J Marin, SUB IDC
Military Health Care Provider, Independent Duty Corpsman in Groton, Connecticut
1649578915- Practice location
- 17 Cypress Ln, Groton, CT 06340-3004
- Phone
- 216-256-3186
- Fax
- —
- Last updated
- March 10, 2011
Andre Jerome Marin is a Military Health Care Provider, Independent Duty Corpsman based in Groton, CT. Andre Jerome Marin practices in Groton, CT and has the professional credentials of SUB IDC. The NPI Number for Andre Jerome Marin is 1649578915. The current practice location address for Andre Jerome Marin is 17 Cypress Ln, Groton, CT 06340-3004 and can be reached out via phone at 216-256-3186.
Provider Profile Details
- NPI Number
- 1649578915
- Provider Name
- Andre Jerome Marin
- Credential
- SUB IDC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 17 Cypress Ln, Groton, CT 06340-3004
- Phone Number
- 216-256-3186
- Primary Taxonomy
- Military Health Care Provider, Independent Duty Corpsman · 1710I1002X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 10, 2011
- Last Update Date
- March 10, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17 Cypress Ln
Groton, CT 06340-3004 - City
- Groton
- State
- Connecticut
- Zip
- 06340-3004
- Phone Number
- 216-256-3186
Provider Business Mailing Address Details
- Address
- 17 Cypress Ln
Groton, CT 06340-3004 - City
- Groton
- State
- CT
- Zip
- 06340-3004
License Information
- 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 Andre J Marin, SUB IDC?
The NPI number of Andre J Marin, SUB IDC is 1649578915. It was assigned on March 10, 2011 and is currently active in the NPPES registry.
What is the specialty of Andre J Marin, SUB IDC?
Andre J Marin, SUB IDC is registered under the primary taxonomy Military Health Care Provider, Independent Duty Corpsman (code 1710I1002X).
Where does Andre J Marin, SUB IDC practice?
The practice location is 17 Cypress Ln, Groton, CT 06340-3004. The office can be reached at 216-256-3186 (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 1649578915 directly on the NPPES registry website.