Individual
CHRISTOPHER DAVID BURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUBMARINE IDC
Contact information
Practice address
1 WAHOO AVE, GROTON, CT 06349-2324
(860) 694-4123
Mailing address
PO BOX 159, GROTON, CT 06349-5159
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CT
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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