Individual
JOHN LEONARD MAIOCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
112 QUARRY RD, SUITE 420, TRUMBULL, CT 06611-4848
(203) 374-3464
(203) 372-1975
Mailing address
112 QUARRY RD, SUITE 420, TRUMBULL, CT 06611-4848
(203) 374-3464
(203) 372-1975
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000462
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40774621
—
CT
Enumeration date
03/31/2006
Last updated
04/22/2014
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