Individual
JOHN D CAGGIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 W COUNTRY CLUB RD, SUITE #130, ROSWELL, NM 88201-5240
(575) 624-4777
(575) 624-8711
Mailing address
300 W COUNTRY CLUB RD, SUITE #130, ROSWELL, NM 88201-5240
(575) 624-4777
(575) 624-8711
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD012076
PA
207X00000X
Orthopaedic Surgery Physician
MD2012-0238
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025989000
BCBS
PA
01
—
0105180
BCBS
PA
05
—
1010368700001
—
PA
01
—
1296142
AETNA HMO
PA
01
—
1565788
CIGNA
PA
05
—
1922008192
—
NM
01
—
30030531
KEYSTONE MERCY
PA
01
—
3157837
MAMSI
PA
01
—
4362243
AETNA
PA
01
—
611816800
US DEPARTMENT OF WORKERS COMP
PA
Enumeration date
07/28/2005
Last updated
11/20/2014
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