MATTHEW SCOTT THARP

GROTON, CT
NPI1770353419
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2024-01-04
Last Update Date2024-01-04
Business Address
MATTHEW SCOTT THARP IDC
104 DEERWOOD DR
GROTON, CT 06340-2516
Phone number: 808-636-6365
Mailing Address
MATTHEW SCOTT THARP IDC
104 DEERWOOD DR
GROTON, CT 06340-2516
Phone number: 808-636-6365