Mauricio Foronda, SUBIDC
Mauricio Foronda, SUBIDC is an Independent Duty Corpsman in Groton, Connecticut. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1 Wahoo Ave Bldg 499Groton, CT 06349-2324
Phone: (862) 812-9757
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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 number | 1417694860 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SUBIDC |
| Sole proprietor | No |
| NPI enumerated | May 17, 2022 |
| Last updated in NPPES | May 29, 2026 |
| Certification date | May 29, 2026 |
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