# EASTERN CONNECTICUT PAIN TREATMENT CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811191216
- **Authorized official:** DR. JOHN J PAGGIOLI MD (MD)
- **Authorized official phone:** (860) 885-0333

## Contact information

- **Practice address:** 190 W TOWN ST, NORWICH, CT 06360-2131
- **Practice address phone:** (860) 885-0333
- **Practice address fax:** (860) 885-1319
- **Mailing address:** 190 W TOWN ST, NORWICH, CT 06360-2131
- **Mailing address phone:** (860) 885-0333
- **Mailing address fax:** (860) 885-1319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 035017 | CT | Yes |

## Other

- **Enumeration date:** 06/12/2007
- **Last updated:** 12/02/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001350173 | — | CT |
| 01 | — | 035017 | CONNECTICARE | CT |
| 01 | — | 2V8671 | HEALTHNET OF THE NORTHEAST | CT |
| 01 | — | 5588518 | AETNA | CT |
| 01 | — | 7135534005 | CIGNA | CT |
| 01 | — | P2176298 | OXFORD | CT |