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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
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 |
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Provider Enumeration Date | 06/11/2008 |
Last Update Date | 07/17/2008 |
Medicare PECOS PAC ID | 9830261494 |
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Medicare Enrollment ID | O20080626000638 |
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 |
Provider Name | John P Moschello |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073592978 PECOS PAC ID: 1850463415 Enrollment ID: I20080626000623 |
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