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

Robert Fitzgerald Burgos, IDC

Individual provider Independent Duty Corpsman · NPI 1619347317

Robert Fitzgerald Burgos, IDC is an Independent Duty Corpsman in Groton, Connecticut. Licensed in Connecticut. Registered with an NPI since 2015.

Licensed in
CT
In the registry since
2015

Practice location Address checks out

1 Wahoo Ave
Groton, CT 06349-2324
Phone: (860) 694-5464
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X · Licence 2339933345 (CT)

Record details

NPI number1619347317
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedOctober 7, 2015
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025

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