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

Matthew Scott Tharp, IDC

Individual provider Independent Duty Corpsman · NPI 1770353419

Matthew Scott Tharp, IDC is an Independent Duty Corpsman in Groton, Connecticut. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

104 Deerwood Dr
Groton, CT 06340-2516
Phone: (808) 636-6365
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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 number1770353419
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedJanuary 4, 2024
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024
Mailing address104 Deerwood Dr, Groton, CT 06340-2516

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