Active NPIOrganization

Philip A Micalizzi, Jr. M.d. PC

Preferred Provider Organization in Bridgeport, Connecticut

NPI Number1437359759
Practice location
3180 Main St, Ste 302, Bridgeport, CT 06606-4237
Fax
203-372-5622
Last updated
October 7, 2007

Philip A Micalizzi, Jr. M.d. PC is a healthcare organization based in Bridgeport, CT. Philip A Micalizzi, Jr. M.d. PC practices in Bridgeport, CT. The NPI Number for Philip A Micalizzi, Jr. M.d. PC is 1437359759 and holds a License No. 026207 (CT). The current practice location address for Philip A Micalizzi, Jr. M.d. PC is 3180 Main St, Ste 302, Bridgeport, CT 06606-4237 and can be reached out via phone at 203-372-6505 and via fax at 203-372-5622.

Provider Profile Details

NPI Number
1437359759
Provider Name
Philip A Micalizzi, Jr. M.d. PC
Provider Entity Type
Organization
Address
3180 Main St, Ste 302, Bridgeport, CT 06606-4237
Phone Number
203-372-6505
Fax Number
203-372-5622
Primary Taxonomy
Preferred Provider Organization · 305R00000X
Organization Subpart
No
Authorized Official
Dr. Philip A Micalizzi, MD · Doctor · 203-372-6505
Provider Enumeration Date
July 24, 2007
Last Update Date
October 7, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
3180 Main St
Ste 302
Bridgeport, CT 06606-4237
Zip
06606-4237
Phone Number
203-372-6505
Fax Number
203-372-5622
Bridgeport, CT 06606Get directions →

Provider Business Mailing Address Details

Address
3180 Main Street
Ste 302
Bridgeport, CT 06606
City
Bridgeport
State
CT
Zip
06606
Phone Number
203-372-6505
Fax Number
203-372-5622

License Information

License Number
026207
License State
CT
Taxonomy
Preferred Provider Organization · 305R00000X · 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 Philip A Micalizzi, Jr. M.d. PC?

The NPI number of Philip A Micalizzi, Jr. M.d. PC is 1437359759. It was assigned on July 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Philip A Micalizzi, Jr. M.d. PC?

Philip A Micalizzi, Jr. M.d. PC is registered under the primary taxonomy Preferred Provider Organization (code 305R00000X), licensed in CT under license number 026207.

Where does Philip A Micalizzi, Jr. M.d. PC practice?

The practice location is 3180 Main St, Ste 302, Bridgeport, CT 06606-4237. The office can be reached at 203-372-6505 (phone) or 203-372-5622 (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 1437359759 directly on the NPPES registry website.

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