NPI 1245674332

Miguel Angel Roman

Practitioner Independent Duty Corpsman New London, CT

Practice location

Address: 35 Union St APT. 521, New London, CT 06320-6136
Phone: (787) 247-0572
Mailing address: 159 Trout Ave, Groton, CT 06349

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in Connecticut →

Registry record

NPI: 1245674332
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Apr 2013
Record last updated: 19 Apr 2013

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.