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

Daniel Patrick Sullivan, SUBMARINEIDC

Individual provider Independent Duty Corpsman · NPI 1467399931

Daniel Patrick Sullivan, SUBMARINEIDC is an Independent Duty Corpsman in Groton, Connecticut. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

159 Trout Ave
Groton, CT 06349
Phone: (860) 694-2876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1467399931
Entity typeIndividual (Type 1)
GenderMale
Credentials SUBMARINEIDC
Sole proprietorNo
NPI enumeratedMay 1, 2026
Last updated in NPPESMay 1, 2026
Certification dateApril 27, 2026
Mailing address159 Trout Ave, Groton, CT 06349

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