Philip a Micalizzi, Jr. M.d. PC
NPI #1437359759 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1437359759
- Entity Type
- Organization
- Organization Name
- Philip a Micalizzi, Jr. M.d. PC
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Jul 24, 2007
- Last Updated
- Oct 7, 2007
Practice Location
- Address
- 3180 MAIN ST
- Address 2
- STE 302
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06606-4237
- Phone
- (203) 372-6505
Authorized Official
- Name
- DR. PHILIP A MICALIZZI II, M.D.
- Title
- DOCTOR
- Phone
- (203) 372-6505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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