Individual
DAVID FARQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 LOCUST CIR, GROTON, CT 06340-3032
(860) 447-9231
Mailing address
124 LOCUST CIR, GROTON, CT 06340-3032
(860) 447-9231
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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