Organization
PHILIP A MICALIZZI, JR. M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP A MICALIZZI II M.D. (DOCTOR)
(203) 372-6505
Entity
Organization
Contact information
Practice address
3180 MAIN ST, STE 302, BRIDGEPORT, CT 06606-4237
(203) 372-6505
(203) 372-5622
Mailing address
3180 MAIN STREET, STE 302, BRIDGEPORT, CT 06606
(203) 372-6505
(203) 372-5622
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
026207
CT
Other
Enumeration date
07/24/2007
Last updated
10/07/2007
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