Organization
EASTERN CONNECTICUT PAIN TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J PAGGIOLI MD (MD)
(860) 885-0333
Entity
Organization
Contact information
Practice address
190 W TOWN ST, NORWICH, CT 06360-2131
(860) 885-0333
(860) 885-1319
Mailing address
190 W TOWN ST, NORWICH, CT 06360-2131
(860) 885-0333
(860) 885-1319
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
035017
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001350173
—
CT
01
—
035017
CONNECTICARE
CT
01
—
2V8671
HEALTHNET OF THE NORTHEAST
CT
01
—
5588518
AETNA
CT
01
—
7135534005
CIGNA
CT
01
—
P2176298
OXFORD
CT
Enumeration date
06/12/2007
Last updated
12/02/2015
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