Organization
KENNETH J. MAIOCCO, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID K. MAIOCCO (PRACTICE ADMINISTRATOR)
(203) 374-5130
Entity
Organization
Contact information
Practice address
4639 MAIN ST, BRIDGEPORT, CT 06606-1838
(203) 374-5546
(302) 371-4056
Mailing address
4639 MAIN ST, BRIDGEPORT, CT 06606-1838
(203) 374-5546
(302) 371-4056
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
013652
CT
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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