ROBERT FITZGERALD BURGOS

GROTON, CT
NPI1619347317
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
(Licence: CT  2339933345)
Enumeration Date2015-10-07
Last Update Date2025-12-19
Business Address
-- ROBERT FITZGERALD BURGOS IDC
1 WAHOO AVE
GROTON, CT 06349-2324
Phone number: 860-694-5464
Mailing Address
-- ROBERT FITZGERALD BURGOS IDC
1 WAHOO AVE
GROTON, CT 06349-2324
Phone number: 860-694-7529
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