MR. Frederick James Chard IV, IDC

NPI #1356766448 in Groton, Connecticut

Provider Information

NPI Number
1356766448
Entity Type
Individual
Name
MR. Frederick James Chard IV, IDC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
Feb 26, 2014
Last Updated
Feb 26, 2014

Practice Location

Address
55 SOUTH RD APT 4B
City
Groton
ZIP Code
06340-4641
Phone
(860) 356-6153

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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