Mr. Simon Matthew Makuchowski, IDC
Mr. Simon Matthew Makuchowski, IDC is an Independent Duty Corpsman in Gales Ferry, Connecticut. Practices as a sole proprietor. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
4 Oakridge DrGales Ferry, CT 06335-1111
Phone: (609) 731-5613
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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 | 1356633598 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | Yes |
| NPI enumerated | May 6, 2011 |
| Last updated in NPPES | May 6, 2011 |