GERALD MICALIZZI, MD
Radiology at Fairview Ave, Bridgeport, CT

License number
Connecticut 037528
Category
Radiology
Type
Diagnostic Radiology
Address
Address
558 Fairview Ave, Bridgeport, CT 06606
Phone
(203) 260-2493
National Provider ID: 1811982416
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about GERALD MICALIZZI at bizstanding.com

GERALD MICALIZZI, M.D., LLC

558 Fairview Ave, Bridgeport, CT 06606

Industry:
Medical Doctor's Office
Doing business as:
Gerald Micalizzi MD
Registration:
Jul 2, 2007
State ID:
0904708
Business type:
Domestic Limited Liability Company
Medical Doctor, Principals:
Gerald Micalizzi, M.d (MEMBER), 558 Fairview Ave, Bridgeport, CT 06606 (Mailing),Gerald Micalizzi (Medical Doctor, Principal)
Agent:
Esquire Justin K. Falco,66 Huntington St, Shelton, CT 06484 (Mailing)
84 Milford Pt Rd, Milford, CT 06460 (Physical)

Radiology licenses in Connecticut










Other Doctors licenses in Connecticut