Provider Demographics
NPI:1447280052
Name:AWAD, JOHN (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:AWAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:305 BLACK ROCK TPKE
Mailing Address - Street 2:ORTHOPAEDIC SPECIALTY GROUP
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-5508
Mailing Address - Country:US
Mailing Address - Phone:203-337-2600
Mailing Address - Fax:203-337-2666
Practice Address - Street 1:305 BLACK ROCK TPKE
Practice Address - Street 2:ORTHOPAEDIC SPECIALTY GROUP
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-5508
Practice Address - Country:US
Practice Address - Phone:203-337-2600
Practice Address - Fax:203-337-2666
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT043636207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT3970447OtherAETNA
CT669G1OtherEMPIRE BC/BS
TINOtherNEHDA
CTP3630094OtherOXFORD HEALTH PLANS
CT2V2648OtherHEALTH NET
TINOtherCORVEL
TINOtherGREAT WEST
TINOtherNORTHEAST HEALTH DIRECT
TINOtherPOMCO
CT010043636CT01OtherANTHEM BC/BS
CT043636OtherCONNECTICARE
CT4434430OtherCIGNA
TINOtherFIRST HEALTH/ CCN
CT001436361Medicaid
CT200001097OtherMULTIPLAN
TINOtherPIONEER
TINOtherUNITED HEALTHCARE
TINOtherCORVEL
TINOtherUNITED HEALTHCARE