Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SIMON MATTHEW MAKUCHOWSKI, IDC
Active Sole ProprietorMR. SIMON MATTHEW MAKUCHOWSKI, IDC is a Independent Duty Corpsman healthcare provider located in GALES FERRY, Connecticut. NPI 1356633598 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · GALES FERRY, CT
Registration Details
- NPI Number
- 1356633598
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 6, 2011 (15.237543806727 yrs)
- Last Updated
- May 6, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
4 OAKRIDGE DRGALES FERRY, CT, 063351111Browse CT providers · Browse ZIP 06335
- Phone
- 6097315613
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.