MATTHEW CARTER

GROTON, CT
NPI1780016352
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-08-06
Last Update Date2013-08-06
Business Address
-- MATTHEW CARTER SUBIDC
1 WAHOO AVE
GROTON, CT 06349-2324
Phone number: 580-458-6944
Mailing Address
-- MATTHEW CARTER SUBIDC
112 DEWEY AVE
GROTON, CT 06340-3343
Phone number: