Individual
NICHOLAS MIHALECZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
2 COLE ST, GROTON, CT 06340-3310
(910) 333-2851
Mailing address
PO BOX 159, GROTON, CT 06349-5159
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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