GERALD MICALIZZI M.D. LLC NPI 1487997581

NPI Information

NPI: 1487997581
Provider Name: GERALD MICALIZZI, M.D., LLC
Classification: Radiology - 2085U0001X
Entity Type: Organization

Specialization: Diagnostic Ultrasound

Address:
558 FAIRVIEW AVENUE
BRIDGEPORT, CT
ZIP 06606
Phone: (203) 374-0793
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GERALD MICALIZZI, M.D., LLC is a diagnostic ultrasound radiology in Bridgeport, CT. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. GERALD MICALIZZI, M.D., LLC NPI is 1487997581. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

558 FAIRVIEW AVENUE
BRIDGEPORT, CT
ZIP 06606
Phone: (203) 374-0793

The provider's authorized official is Gerald Joseph Micalizzi .
The authorized official title is President and has the following contact phone number (203) 260-2493.

The enumeration date for this NPI number is 3/27/2013 and was last updated on 5/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085U0001X	Radiology	Diagnostic Ultrasound	225913-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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