| John P. Moschello, Md, Pc | |
|
594 Mount Fair Dr Watertown CT 06795-1661 | |
| (860) 274-0674 | |
| (860) 945-6614 |
| Full Name | John P. Moschello, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 594 Mount Fair Dr, Watertown, Connecticut |
| Authorized Official Name and Position | John P. Moschello (OWNER) |
| Authorized Official Contact | 8602740674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John P. Moschello, Md, Pc 594 Mount Fair Dr Watertown CT 06795-1661 Ph: (860) 274-0674 | John P. Moschello, Md, Pc 594 Mount Fair Dr Watertown CT 06795-1661 Ph: (860) 274-0674 |
| NPI Number | 1700046083 |
|---|---|
| Provider Enumeration Date | 06/11/2008 |
| Last Update Date | 07/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700046083 | NPI | - | NPPES |
| 00123988000 | Other | CT | BLUE CARE FAMILY PLAN |
| OR0625 | Other | CT | HEALTHNET |
| 010023988CT09 | Other | CT | ANTHEM BC/BS |
| 023988 | Other | CT | CONNECTICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 023988 (Connecticut) | Primary |
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