Individual
DR. RUSSELL CHIAPPETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
360 N MAIN ST, SOUTHINGTON, CT 06489-2503
(860) 628-4719
(860) 620-0188
Mailing address
360 N MAIN ST, SOUTHINGTON, CT 06489-2503
(860) 628-4719
(860) 620-0188
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
021394
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010021394CT01
BLUE CROSS BLUE SHIELD
CT
01
—
060296
CONNECTICARE
CT
01
—
0944776-001
CIGNA
CT
05
—
1213941
—
CT
01
—
4002828
AETNA
CT
01
—
HAS012
OXFORD
CT
01
—
OR0343
HEALTHNET
CT
Enumeration date
08/10/2005
Last updated
02/29/2008
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