Individual
DR. ALICJA DEWERA-MOCZERNIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4699 MAIN ST, BRIDGEPORT, CT 06606-1830
(203) 452-8322
(203) 371-7198
Mailing address
2081 MILL PLAIN RD, FAIRFIELD, CT 06824-3062
(203) 292-3078
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
050411
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008036404
—
CT
Enumeration date
02/11/2009
Last updated
03/13/2012
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