KENNETH J. MAIOCCO, M.D., P.C.
Dermatology at Main St, Bridgeport, CT

License number
Connecticut 013652
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: MR. DAVID K. MAIOCCO
Title: PRACTICE ADMINISTRATOR
Phone: (203) 374-5130
Address
Address
4639 Main St, Bridgeport, CT 06606
National Provider ID: 1487847570
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KENNETH J. MAIOCCO, M.D., PC

4639 Main St, Bridgeport, CT

Industry:
Medical Doctor's Office
Doing business as:
Kenneth J Maiocco MD PC
Registration:
Jun 3, 1980
Phone:
(203) 374-5546 (Phone)
State ID:
0106282
Business type:
Stock
Dermatologys:
Maxine G. Maiocco (SECY, Registered Nurse), 4639 Main St, Bridgeport, CT 06606 (Mailing)
1066 Merwins Ln, Fairfield, CT 06824 (Physical),Kenneth Maiocco (President, Dermatology, Md Pc, Medical Doctor),David Maiocco (Office Manager, Administration),...
Agent:
Kenneth J Maiocco, M.d,4641 Main St, Bridgeport, CT 06606 (Mailing)
30 Maple Rdg Rd, Trumbull, CT 06611 (Physical)

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