Individual
DANIEL CURTIS ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
159 TROUT AVE, GROTON, CT 06349-5159
(860) 694-2876
(860) 694-3874
Mailing address
PO BOX 159, GROTON, CT 06349-5159
(860) 694-2876
(860) 694-3874
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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