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

Mr. John William Vandal

Individual provider Independent Duty Corpsman · NPI 1508593393

Mr. John William Vandal is an Independent Duty Corpsman in Groton, Connecticut. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

68 Burningtree Dr
Groton, CT 06340-3102
Phone: (207) 808-9295
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 number1508593393
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 2, 2022
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022
Mailing address68 Burningtree Dr, Groton, CT 06340-3102

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