ANDREW AZEVEDO

GROTON, CT
NPI1396268595
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2017-07-19
Last Update Date2017-07-19
Business Address
ANDREW AZEVEDO IDC
159 TROUT AVE
GROTON, CT 06340
Phone number: 860-694-6450
Mailing Address
ANDREW AZEVEDO IDC
207 OHIO AVE
GROTON, CT 06340-6108
Phone number: 323-697-0635