Individual
JOHN A TESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
166 WATERBURY RD, STE 300, PROSPECT, CT 06712
(203) 758-0878
(203) 758-0877
Mailing address
166 WATERBURY RD, STE 300, PROSPECT, CT 06712
(203) 758-0878
(203) 758-0877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
040224
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010040224CT03
ANTHEM BCBS CT
CT
01
—
02208443
UHC
CT
01
—
040224
CONNECTICARE
CT
05
—
1402247
—
CT
01
—
276436
WELLCARE
CT
01
—
3V0866
HEALTHNET/COMMERCIAL
CT
01
—
7853384
AETNA
CT
01
—
P01047925
RR MEDICARE
CT
01
—
P3945105
OXFORD
CT
Enumeration date
03/18/2006
Last updated
10/28/2021
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