Micalizzi, Gerald
Micalizzi, Gerald is an individual health care provider with primary practice located at 558 Fairview Ave , Bridgeport CT 06606-4501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Micalizzi, Gerald can be contacted via phone (203) 260-2493.Contact Information
Primary practice address
558 Fairview Ave
Bridgeport CT 06606-4501
Phone: (203) 260-2493
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 037528 | Connecticut |
Profile Details
| NPI number | 1811982416 |
|---|---|
| LBN Legal business name | Micalizzi, Gerald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | May 14th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811982416 | NPPES |
| Connecticut | MEDICAID | 001375288 |
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