Active NPIIndividual provider

Mr. Jerry P Malefatto, MD

Internal Medicine, Hematology & Oncology in Trumbull, Connecticut

NPI Number1114011343
Practice location
15 Corporate Drive, Trumbull, CT 06611
Fax
203-459-0264
Last updated
July 8, 2007

Jerry P Malefatto is an Internal Medicine, Hematology & Oncology based in Trumbull, CT. Jerry P Malefatto practices in Trumbull, CT and has the professional credentials of MD. The NPI Number for Jerry P Malefatto is 1114011343 and holds a License No. 031058 (CT). The current practice location address for Jerry P Malefatto is 15 Corporate Drive, Trumbull, CT 06611 and can be reached out via phone at 203-459-0262 and via fax at 203-459-0264.

Provider Profile Details

NPI Number
1114011343
Provider Name
Jerry P Malefatto
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15 Corporate Drive, Trumbull, CT 06611
Phone Number
203-459-0262
Fax Number
203-459-0264
Primary Taxonomy
Internal Medicine, Hematology & Oncology · 207RH0003X
Sole Proprietor
No
Provider Enumeration Date
October 3, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Corporate Drive
Trumbull, CT 06611
Zip
06611
Phone Number
203-459-0262
Fax Number
203-459-0264
Trumbull, CT 06611Get directions →

Provider Business Mailing Address Details

Address
15 Corporate Drive
Trumbull, CT 06611
City
Trumbull
State
CT
Zip
06611
Phone Number
203-459-0262
Fax Number
203-459-0264

License Information

License Number
031058
License State
CT
Taxonomy
Internal Medicine, Hematology & Oncology · 207RH0003X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jerry P Malefatto, MD?

The NPI number of Mr. Jerry P Malefatto, MD is 1114011343. It was assigned on October 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Jerry P Malefatto, MD?

Mr. Jerry P Malefatto, MD is registered under the primary taxonomy Internal Medicine, Hematology & Oncology (code 207RH0003X), licensed in CT under license number 031058.

Where does Mr. Jerry P Malefatto, MD practice?

The practice location is 15 Corporate Drive, Trumbull, CT 06611. The office can be reached at 203-459-0262 (phone) or 203-459-0264 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114011343 directly on the NPPES registry website.

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