Foronda, Mauricio

Foronda, Mauricio is an individual health care provider with primary practice located at 1 Wahoo Ave Bldg 499 , Groton CT 06349-2324. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Foronda, Mauricio can be contacted via phone (862) 812-9757.

Contact Information

Primary practice address
1 Wahoo Ave Bldg 499 Groton CT 06349-2324
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1417694860
LBN Legal business name Foronda, Mauricio
Credentials SUB IDC
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2022
Last updated May 29th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers