MOSS AND MAIOCCO MD LLC
Medical Practice at Main St, Bridgeport, CT

License number
Connecticut 043137
Category
Medical Practice
Type
Specialist
Owner
Name: MR. DAVID KENNETH MAIOCCO
Title: PRACTICE ADMINISTRATOR
Phone: (203) 374-5130
Address
Address
4639 Main St, Bridgeport, CT 06606
National Provider ID: 1013206481
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MOSS AND MAIOCCO MD LLC at bizstanding.com

MOSS AND MAIOCCO M.D., LLC

4639 Main St, Bridgeport, CT 06606

Industry:
Dermatologist
Doing business as:
Moss and Maiocco MD LLC
Registration:
Jan 31, 2011
Site:
www.brooksideskindocs.com
Phone:
(203) 374-5546 (Phone)
State ID:
1027137
Business type:
Domestic Limited Liability Company
MEMBER:
Jeremy E. Moss, M.d (MEMBER), 4639 Main St, Bridgeport, CT 06606 (Mailing)
110 Osborne Pl, Southport, CT 06890 (Physical)

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