Organization
GERALD MICALIZZI, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD JOSEPH MICALIZZI M.D. (PRESIDENT)
(203) 260-2493
Entity
Organization
Contact information
Practice address
558 FAIRVIEW AVENUE, BRIDGEPORT, CT 06606
(203) 374-0793
Mailing address
558 FAIRVIEW AVENUE, BRIDGEPORT, CT 06606
(203) 260-2493
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
225913-1
NY
Other
Enumeration date
03/27/2013
Last updated
05/14/2014
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