Moss And Maiocco Md Llc

LBN: Moss And Maiocco Md Llc
Moss And Maiocco Md Llc is an health care organization with primary practice located at 4639 Main St , Bridgeport CT 06606-1832. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Moss And Maiocco Md Llc can be contacted via phone (203) 374-5546, or through Maiocco, David Kenneth via phone (203) 374-5130.

Contact Information

Primary practice address
4639 Main St Bridgeport CT 06606-1832
Phone: (203) 374-5546
Fax: (203) 371-4056
Website:
Map and Directions
Authorized official contact:
Name: Maiocco, David Kenneth
Phone: (203) 374-5130

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1013206481
LBN Legal business name Moss And Maiocco Md Llc
DBA Doing business as
Authorized official Maiocco, David Kenneth
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2011
Last updated Feb 6th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013206481 NPPES
Connecticut MEDICAID 4191491

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