NPI 1104361997

Jean Paul Dennis Vargas, IDC

Practitioner Independent Duty Corpsman New London, CT

Practice location

Address: 96 Michael Rd APT F, New London, CT 06320-2451
Phone: (862) 668-6788

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

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Registry record

NPI: 1104361997
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jan 2017
Record last updated: 3 Jan 2017

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.