Individual
DR. JOHN P MOSCHELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 S MAIN ST, THOMASTON, CT 06787-1741
(860) 283-0286
(203) 575-5119
Mailing address
594 MOUNT FAIR DR, WATERTOWN, CT 06795-1661
(860) 274-0674
(860) 945-6614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
023988
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001239880
—
CT
01
—
00123988000
BLUE CARE FAMILY PLAN
CT
01
—
010023988CT09
ANTHEM BC/BS
CT
01
—
023988
CONNECTICARE
CT
01
—
061331790
CIGNA
CT
01
—
OR0625
HEALTHNET
CT
Enumeration date
01/10/2006
Last updated
06/15/2018
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