Individual
JOSHUA O BALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NAVY IDC
Contact information
Practice address
1 WAHOO AVE, SUBASE NLON, GROTON, CT 06340-2324
(860) 694-4123
(860) 694-2511
Mailing address
1 WAHOO AVE, SUBASE NLON, GROTON, CT 06340-2324
(860) 694-4123
(860) 694-2511
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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