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ANDRE JEROME MARIN SUB IDC NPI 1649578915


NPI Information

NPI: 1649578915
Provider Name: ANDRE JEROME MARIN, SUB IDC
Classification: Military Health Care Provider - 1710I1002X
Entity Type: Individual

Specialization: Independent Duty Corpsman

Address:
17 CYPRESS LN
GROTON, CT
ZIP 06340
Phone: (216) 256-3186
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Andre Jerome Marin, SUB IDC is an independent duty corpsman military health care provider in Groton, CT. The provider is a Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. Andre Jerome Marin, SUB IDC NPI is 1649578915. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

17 CYPRESS LN
GROTON, CT
ZIP 06340-004
Phone: (216) 256-3186

The enumeration date for this NPI number is 3/10/2011 and was last updated on 3/10/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11710I1002XMilitary Health Care ProviderIndependent Duty CorpsmanYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.