Individual
JOHN AWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 BLACK ROCK TPKE, ORTHOPAEDIC SPECIALTY GROUP, FAIRFIELD, CT 06825-5508
(203) 337-2600
(203) 337-2666
Mailing address
305 BLACK ROCK TPKE, ORTHOPAEDIC SPECIALTY GROUP, FAIRFIELD, CT 06825-5508
(203) 337-2600
(203) 337-2666
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
043636
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001436361
—
CT
01
—
010043636CT01
ANTHEM BC/BS
CT
01
—
043636
CONNECTICARE
CT
01
—
200001097
MULTIPLAN
CT
01
—
2V2648
HEALTH NET
CT
01
—
3970447
AETNA
CT
01
—
4434430
CIGNA
CT
01
—
669G1
EMPIRE BC/BS
CT
01
—
P3630094
OXFORD HEALTH PLANS
CT
01
—
TIN
NEHDA
—
Enumeration date
07/03/2006
Last updated
03/29/2017
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