DR. Ira D Mickenberg, M.D.
NPI #1285680751 in Southbury, Connecticut
Provider Information
- NPI Number
- 1285680751
- Entity Type
- Individual
- Name
- DR. Ira D Mickenberg, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Internal Medicine - Infectious Disease
- Credential
- M.D.
- Enumeration Date
- May 26, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 22 OLD WATERBURY RD
- Address 2
- SUITE 201
- City
- Southbury
- State
- Connecticut
- ZIP Code
- 06488-3848
- Phone
- (203) 264-6503
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Infectious Disease — Infectious Disease |
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