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Organization

JOHN J GIACCHETTO MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN J GIACCHETTO MD (PRESIDENT)
(860) 889-1116
Entity
Organization

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 BLUE CROSS AND BLUE SHIELD
CT
01
030927
HEALTHNET
01
0461209
AETNA
01
797371
CONNECTICARE
01
NLS089
OXFORD
Enumeration date
02/16/2010
Last updated
07/28/2014
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