Organization
JOHN P. MOSCHELLO, MD, PC
Active
Organization
JOHN P. MOSCHELLO, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P. MOSCHELLO MD (OWNER)
(860) 274-0674
Entity
Organization
Contact information
Practice address
594 MOUNT FAIR DR, WATERTOWN, CT 06795-1661
(860) 274-0674
(860) 945-6614
Mailing address
594 MOUNT FAIR DR, WATERTOWN, CT 06795-1661
(860) 274-0674
(860) 945-6614
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
023988
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00123988000
BLUE CARE FAMILY PLAN
CT
01
—
010023988CT09
ANTHEM BC/BS
CT
01
—
023988
CONNECTICARE
CT
01
—
OR0625
HEALTHNET
CT
Enumeration date
06/11/2008
Last updated
07/17/2008
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