# DR. JOHN W ANDREOLI JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1609879543
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 22366 | CT | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 07/13/2007

## 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 |