Individual
JOHN REED
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
141 TROUT AVE, NAVSUBASE NLON, GROTON, CT 06349-5900
(860) 694-3265
Mailing address
141 TROUT AVE, NAVSUBASE NLON, GROTON, CT 06349-5900
(860) 694-3265
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/08/2006
Last updated
07/08/2007
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