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Organization
JOHN J GIACCHETTO MD PC
Active
Organization
JOHN J GIACCHETTO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J GIACCHETTO MD (PRESIDENT)
(860) 889-1116
Entity
Organization
Contact information
Practice address
105 WAWECUS ST, SUITE 2, NORWICH, CT 06360-2146
(860) 889-1116
(860) 889-2032
Mailing address
105 WAWECUS ST, SUITE 2, NORWICH, CT 06360-2146
(860) 889-1116
(860) 889-2032
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
026485
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001264853
—
CT
01
—
010026485CT03
ANTHEM BLUE CROSS AND BLUE SHIELD
CT
01
—
030927
HEALTHNET
—
01
—
0461209
AETNA
—
01
—
797371
CONNECTICARE
—
01
—
NLS089
OXFORD
—
Enumeration date
02/16/2010
Last updated
07/28/2014
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