Individual
GEORGE IANNINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-6959
Mailing address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-6959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
022392
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00022392
NYS MEDICAID
NY
01
—
0011165
CHAMPUS
CT
05
—
001223924
—
CT
01
—
0095801
GHI
CT
01
—
010022392CT01
ANTHEM BCBS
CT
01
—
040197
HEALTH NET
CT
01
—
110136697
RAILROAD MEDICARE
CT
01
—
472712
AETNA US HEALTHCARE
CT
01
—
730932
CONNECTICARE
CT
01
—
P432502
OXFORD HEALTH PLANS
CT
Enumeration date
10/16/2006
Last updated
07/08/2007
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