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Vjacelsavs Asme

Military Health Care Provider, Independent Duty Corpsman in Groton, CT. Individual provider (NPI-1).

NPI number1336933902
StatusActive
Last updated in NPPESApr 8, 2025

Details

NPI
1336933902
Entity type
Individual (NPI-1)
Name
Vjacelsavs Asme
Sex
Male
Sole proprietor
No
Enumeration date
Apr 8, 2025
Certification date
Apr 8, 2025
Last updated
Apr 8, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1710I1002X Military Health Care Provider, Independent Duty Corpsman––Yes

Practice location

390 Burningtree Dr
Groton, CT 06340-3106

Phone 310-863-1104

Mailing address

390 Burningtree Dr
Groton, CT 06340-3106

Phone 310-863-1104

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Independent Duty Corpsman providers in Groton, CT

All 186 Independent Duty Corpsman providers in Groton · All 917 providers in Groton

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