person
Dr. Maria Mikolaenko, DO
Adult Medicine Physician in Bridgeport, Connecticut
NPI 1063824761

Maria Mikolaenko is an Adult Medicine Physician based in Wethersfield, CT and is specialized in Adult Medicine. Maria Mikolaenko practices in Bridgeport, CT and has the professional credentials of DO. The NPI Number for Maria Mikolaenko is 1063824761 and holds a License No. OS15147 (Connecticut).

The current practice location address for Maria Mikolaenko is 2979 Main St, Bridgeport, CT and can be reached out via phone at 203-382-2345 and via fax at 203-366-0868.

Location: 2979 Main St, Bridgeport, CT, 06109-4337
person
Provider Profile Details
NPI Number
1063824761
Provider Name
Maria Mikolaenko
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
2979 Main St, Bridgeport, CT, 06109-4337
Phone Number
203-382-2345
Fax Number
203-366-0868
Provider Enumeration Date
05/29/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OS15147 01 FL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2979 Main St
City
State
Zip
06606-4284
Phone Number
203-382-2345
Fax Number
203-366-0868
person
Provider Business Mailing Address Details
Address
2979 Main St
City
State
Zip
06606-4284
Phone Number
203-382-2345
Fax Number
203-366-0868
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
OS15147 (Florida)
Definition
Definition to come.
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