Individual
MR. PHILIP ANTHONY MICALIZZI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3180 MAIN STREET, STE 302, BRIDGEPORT, CT 06606
(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
2084N0400X
Neurology Physician
Primary
026207
CT
Other
Enumeration date
08/29/2006
Last updated
07/02/2010
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