Prudencio Cupat Sy, IDC

NPI #1952858482 in Groton, Connecticut

Provider Information

NPI Number
1952858482
Entity Type
Individual
Name
Prudencio Cupat Sy, IDC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
Sep 1, 2016
Last Updated
Sep 1, 2016

Practice Location

Address
BLDG 159 NAVSUBASE NLON
Address 2
NAVAL UNDERSEA MEDICAL INSTITUTE
City
Groton
ZIP Code
06349-5159
Phone
(860) 694-2876

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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