Dr. Goran Micevic, MD, PHD
Dermatology in New Haven, Connecticut
1679063986- Practice location
- 20 York St Dept Of Dermatology, New Haven, CT 06510-3220
- Phone
- 203-688-4242
- Fax
- —
- Last updated
- April 30, 2022
Goran Micevic is a Dermatology based in New Haven, CT. Goran Micevic practices in New Haven, CT and has the professional credentials of MD, PHD. The NPI Number for Goran Micevic is 1679063986 and holds a License No. 70721 (CT). The current practice location address for Goran Micevic is 20 York St Dept Of Dermatology, New Haven, CT 06510-3220 and can be reached out via phone at 203-688-4242.
Provider Profile Details
- NPI Number
- 1679063986
- Provider Name
- Goran Micevic
- Credential
- MD, PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 20 York St Dept Of Dermatology, New Haven, CT 06510-3220
- Phone Number
- 203-688-4242
- Primary Taxonomy
- Dermatology · 207N00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 11, 2018
- Last Update Date
- April 30, 2022
- Certification Date
- April 30, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 York St Dept Of Dermatology
New Haven, CT 06510-3220 - City
- New Haven
- State
- Connecticut
- Zip
- 06510-3220
- Phone Number
- 203-688-4242
Provider Business Mailing Address Details
- Address
- 333 Cedar Street, Dept. Of Dermatology
Lc1 501 Po Box 208059
New Haven, CT 06520-8059 - City
- New Haven
- State
- CT
- Zip
- 06520-8059
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 70721
- License State (2)
- CT
- Taxonomy (2)
- Dermatology · 207N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Goran Micevic, MD, PHD?
The NPI number of Dr. Goran Micevic, MD, PHD is 1679063986. It was assigned on May 11, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Goran Micevic, MD, PHD?
Dr. Goran Micevic, MD, PHD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in CT under license number 70721.
Where does Dr. Goran Micevic, MD, PHD practice?
The practice location is 20 York St Dept Of Dermatology, New Haven, CT 06510-3220. The office can be reached at 203-688-4242 (phone).
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 1679063986 directly on the NPPES registry website.