MR. Benjamin John Grover, IDC

NPI #1144546847 in Groton, Connecticut

Provider Information

NPI Number
1144546847
Entity Type
Individual
Name
MR. Benjamin John Grover, IDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
Apr 20, 2010
Last Updated
Apr 20, 2010

Practice Location

Address
159 TROUT AVENUE
City
Groton
ZIP Code
06340
Phone
(860) 694-2876

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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