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Contact Information

GERALD MICALIZZI, M.D., LLC
558 FAIRVIEW AVENUE
BRIDGEPORT, CT06606
 Phone: 203-374-0793
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Ultrasound

2085U0001X
Indicates primary specialty

NPI Profile & details for GERALD MICALIZZI, M.D., LLC

NPI Number 1487997581
LBN Legal business name GERALD MICALIZZI, M.D., LLC
Authorized official GERALD MICALIZZI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/27/2013
Last updated 05/14/2014 - About 12 years ago
Identifiers
NY License # 225913-1
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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