Moss and Maiocco MD LLC

NPI #1013206481 in Bridgeport, Connecticut

Provider Information

NPI Number: 1013206481
Entity Type: Organization
Organization Name: Moss and Maiocco MD LLC
Primary Specialty: Dermatology
Enumeration Date: Apr 6, 2011
Last Updated: Feb 6, 2019

Practice Location

Address: 4639 MAIN ST
City: Bridgeport
State: Connecticut
ZIP Code: 06606-1832
Phone: (203) 374-5546

Authorized Official

Name: MR. DAVID KENNETH MAIOCCO
Title: PRACTICE ADMINISTRATOR
Phone: (203) 374-5130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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