Provider Demographics
NPI:1245241587
Name:ORECCHIO, EDWARD J (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:J
Last Name:ORECCHIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 DUNNING ST STE 2
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-2070
Mailing Address - Country:US
Mailing Address - Phone:603-542-1187
Mailing Address - Fax:603-542-1189
Practice Address - Street 1:5 DUNNING ST STE 2
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743-2070
Practice Address - Country:US
Practice Address - Phone:603-542-1187
Practice Address - Fax:603-542-1189
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH10964174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH01Y002440NH03OtherBC/BS OF NH
NH67665OtherCIGNA
NH30201004Medicaid
NH753101716OtherMARTINS POINT
VT891341OtherMVP
VTVTORE5762Medicaid
NH753101716OtherUNITED HEALTHCARE
VT49438OtherBCVT
NH01Y002440NH03OtherCBA BLUE (NH)
NH753101716OtherTRICARE
VT753101716OtherCBA
NH67665OtherCIGNA
NH30201004Medicaid