MR. Simon Matthew Makuchowski, IDC
NPI #1356633598 in Gales Ferry, Connecticut
Provider Information
- NPI Number
- 1356633598
- Entity Type
- Individual
- Name
- MR. Simon Matthew Makuchowski, IDC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- May 6, 2011
- Last Updated
- May 6, 2011
Practice Location
- Address
- 4 OAKRIDGE DR
- City
- Gales Ferry
- State
- Connecticut
- ZIP Code
- 06335-1111
- Phone
- (609) 731-5613
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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