Individual
JOHN J GIACCHETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PC
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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