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Individual

MR. MATTHEW G OUZTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
1 WAHOO AVE, GROTON, CT 06349-2324
(860) 694-4123
Mailing address
1 WAHOO AVE, GROTON, CT 06349-2324
(860) 694-4123

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
1902525488
CT
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
08/26/2022
Last updated
02/17/2026
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