Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andre Jerome Marin, SUBIDC

Individual provider Independent Duty Corpsman · NPI 1649578915

Andre Jerome Marin, SUBIDC is an Independent Duty Corpsman in Groton, Connecticut. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

17 Cypress Ln
Groton, CT 06340-3004
Phone: (216) 256-3186
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1649578915
Entity typeIndividual (Type 1)
GenderMale
Credentials SUBIDC
Sole proprietorNo
NPI enumeratedMarch 10, 2011
Last updated in NPPESMarch 10, 2011
Mailing address17 Cypress Ln, Groton, CT 06340-3004

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