NPI 1063819068

Oscar Antonio Gonzalez

Practitioner Independent Duty Corpsman Groton, CT

Practice location

Address: 34 Plum Ln, Groton, CT 06340-2928
Phone: (619) 922-1715

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in Connecticut →

Registry record

NPI: 1063819068
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Nov 2014
Record last updated: 20 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.