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Individual

JOHN J GIACCHETTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PC

Contact information

Practice address
105 WAWECUS ST, SUITE 2, NORWICH, CT 06360-2146
(860) 889-1116
(860) 889-2032
Mailing address
105 WAWECUS ST, SUITE 2, NORWICH, CT 06360-2146
(860) 889-1116
(860) 889-2032

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
026485
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001264853
CT
01
010026485CT03
ANTHEM BC & BS
CT
01
030927
HEALTHNET
CT
01
0904228
UNITED HEALTHCARE
CT
01
200006652
RAILROAD MEDICARE
CT
01
461209
AETNA
CT
01
797371
CONNECTICARE
CT
01
NLS089
OXFORD
CT
Enumeration date
06/09/2005
Last updated
07/28/2014
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