ROBERT FITZGERALD BURGOS

GROTON, CT
NPI1619347317
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
(Licence: TX  27988167)
Enumeration Date2015-10-07
Last Update Date2015-10-21
Business Address
-- ROBERT FITZGERALD BURGOS IDC
SUBMARINE NAVAL BASE NEW LONDON BOX 159
GROTON, CT 06349-5159
Phone number: 860-694-5464
Mailing Address
-- ROBERT FITZGERALD BURGOS IDC
62 HICKORY DR
GROTON, CT 06340-2915
Phone number: 956-533-2101
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