Kenneth J. Maiocco, M.d., P.c.

NPI #1487847570 in Bridgeport, Connecticut

Provider Information

NPI Number: 1487847570
Entity Type: Organization
Organization Name: Kenneth J. Maiocco, M.d., P.c.
Primary Specialty: Dermatology
Enumeration Date: Aug 22, 2007
Last Updated: Aug 22, 2007

Practice Location

Address: 4639 MAIN ST
City: Bridgeport
State: Connecticut
ZIP Code: 06606-1838
Phone: (203) 374-5546

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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