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Individual
DR. JOHN W ANDREOLI JR.
Active
Individual
DR. JOHN W ANDREOLI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22366
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001223668
—
CT
01
—
004196095
GHMC GROUP MEDICAID ID
CT
01
—
010022366CT03
BCBS & BCFP PROVIDER ID
CT
01
—
01022366
CIGNA
CT
01
—
060073
HEALTH NET
CT
01
—
2236601
CONNECTICARE
CT
01
—
368660
WELLCARE MEDICARE
CT
01
—
60916784
AETNA
CT
01
—
C01373
GHMC GROUP MEDICARE ID
CT
01
—
P369891
OXFORD
CT
Enumeration date
05/24/2005
Last updated
07/13/2007
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