Provider Demographics
NPI:1952366072
Name:KEGGI, JOHN M (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:M
Last Name:KEGGI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1579 STRAITS TURNPIKE, SUITE E
Mailing Address - Street 2:ORTHOPAEDICS NEW ENGLAND PC
Mailing Address - City:MIDDLEBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06762
Mailing Address - Country:US
Mailing Address - Phone:203-598-0700
Mailing Address - Fax:877-345-6922
Practice Address - Street 1:1579 STRAITS TURNPIKE, SUITE E
Practice Address - Street 2:ORTHOPAEDICS NEW ENGLAND PC
Practice Address - City:MIDDLEBURY
Practice Address - State:CT
Practice Address - Zip Code:06762
Practice Address - Country:US
Practice Address - Phone:203-598-0700
Practice Address - Fax:877-345-6922
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2020-03-13
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Provider Licenses
StateLicense IDTaxonomies
CT031073207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
F24220Medicare UPIN
CTC01925Medicare PIN
CT200000763Medicare PIN