Individual
MR. PATRICK COKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
BLDG 159, TROUT AVENUE, GROTON, CT 06340
(860) 694-6483
Mailing address
BLDG 159, TROUT AVENUE, GROTON, CT 06340
(860) 694-6483
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
CT
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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