Individual
MR. JOSE LUIS DELGADO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
244 OHIO AVE, GROTON, CT 06340-6109
(860) 857-3279
Mailing address
244 OHIO AVE, GROTON, CT 06340-6109
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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