Individual
MR. ADAM CLINTON RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
163 LEDGEWOOD RD, APT 405, GROTON, CT 06340-6611
(903) 517-6146
Mailing address
163 LEDGEWOOD RD, APT 405, GROTON, CT 06340-6611
(903) 517-6146
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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