Individual
HAMILTON ARENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUB IDC
Contact information
Practice address
1 WAHOO AVE, GROTON, CT 06349-2324
(203) 505-5513
Mailing address
PO BOX 159, GROTON, CT 06349-5159
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/08/2018
Last updated
09/08/2018
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