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

Matthew John Wilson

Individual provider Independent Duty Corpsman · NPI 1063206944

Matthew John Wilson is an Independent Duty Corpsman in Groton, Connecticut. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

103 Catalpa Rd
Groton, CT 06340-2512
Phone: (207) 406-1147
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 number1063206944
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 7, 2025
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing address103 Catalpa Rd, Groton, CT 06340-2512

Other providers in Groton