Individual
DR. KENNETH JOSEPH MAIOCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4639 MAIN ST, BRIDGEPORT, CT 06606-1838
(203) 374-5546
(203) 371-4056
Mailing address
4639 MAIN ST, BRIDGEPORT, CT 06606-1838
(203) 374-5546
(203) 371-4056
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
013652
CT
Other
Enumeration date
03/27/2006
Last updated
02/06/2019
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