Mr. Mark Mammoth
Mr. Mark Mammoth is an Independent Duty Corpsman in Groton, Connecticut. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
1 Wahoo Drive Naval Branch Health ClinicGroton, CT 06349-5600
Phone: (860) 694-2377
Fax: (860) 694-2590
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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 | 1760668792 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 22, 2008 |
| Last updated in NPPES | January 22, 2008 |
| Mailing address | 1 Wahoo Drive, Naval Branch Health Clinic, Groton, CT 06349-5600 |
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