Dr. Alicja Dewera-Moczerniuk, MD
Pediatrics in Bridgeport, Connecticut
1629217914- Practice location
- 4699 Main St, Bridgeport, CT 06606-1830
- Phone
- 203-452-8322
- Fax
- 203-371-7198
- Last updated
- March 13, 2012
Alicja Dewera-Moczerniuk is a Pediatrics based in Bridgeport, CT. Alicja Dewera-Moczerniuk practices in Bridgeport, CT and has the professional credentials of MD. The NPI Number for Alicja Dewera-Moczerniuk is 1629217914 and holds a License No. 050411 (CT). The current practice location address for Alicja Dewera-Moczerniuk is 4699 Main St, Bridgeport, CT 06606-1830 and can be reached out via phone at 203-452-8322 and via fax at 203-371-7198.
Provider Profile Details
- NPI Number
- 1629217914
- Provider Name
- Alicja Dewera-Moczerniuk
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4699 Main St, Bridgeport, CT 06606-1830
- Phone Number
- 203-452-8322
- Fax Number
- 203-371-7198
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 11, 2009
- Last Update Date
- March 13, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4699 Main St
Bridgeport, CT 06606-1830 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06606-1830
- Phone Number
- 203-452-8322
- Fax Number
- 203-371-7198
Provider Business Mailing Address Details
- Address
- 2081 Mill Plain RD
Fairfield, CT 06824-3062 - City
- Fairfield
- State
- CT
- Zip
- 06824-3062
- Phone Number
- 203-292-3078
License Information
- License Number
- 050411
- License State
- CT
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Bridgeport, CT
View all Pediatrics providers in Bridgeport →Frequently Asked Questions
What is the NPI number of Dr. Alicja Dewera-Moczerniuk, MD?
The NPI number of Dr. Alicja Dewera-Moczerniuk, MD is 1629217914. It was assigned on February 11, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Alicja Dewera-Moczerniuk, MD?
Dr. Alicja Dewera-Moczerniuk, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in CT under license number 050411.
Where does Dr. Alicja Dewera-Moczerniuk, MD practice?
The practice location is 4699 Main St, Bridgeport, CT 06606-1830. The office can be reached at 203-452-8322 (phone) or 203-371-7198 (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 1629217914 directly on the NPPES registry website.