Gerald Micalizzi, MD | |
558 Fairview Ave, Bridgeport, CT 06606-4501 | |
(203) 260-2493 | |
Not Available |
Full Name | Gerald Micalizzi |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 558 Fairview Ave, Bridgeport, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811982416 | NPI | - | NPPES |
001375288 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 037528 (Connecticut) | Primary |
Entity Name | Medical Arts Radiological Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912096793 PECOS PAC ID: 4789579715 Enrollment ID: O20040218000918 |
Entity Name | Stat Portable X-ray, Inc. |
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Entity Type | Part B Supplier - Portable X-ray Supplier |
Entity Identifiers | NPI Number: 1689791717 PECOS PAC ID: 7416986773 Enrollment ID: O20050806000121 |
Entity Name | Stat Portable X-ray, Inc. |
---|---|
Entity Type | Part B Supplier - Portable X-ray Supplier |
Entity Identifiers | NPI Number: 1689791717 PECOS PAC ID: 7416986773 Enrollment ID: O20050903000013 |
Entity Name | Zelman Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437523818 PECOS PAC ID: 6406130871 Enrollment ID: O20170302001309 |
Mailing Address | Practice Location Address |
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Gerald Micalizzi, MD 558 Fairview Ave, Bridgeport, CT 06606-4501 Ph: (203) 260-2493 | Gerald Micalizzi, MD 558 Fairview Ave, Bridgeport, CT 06606-4501 Ph: (203) 260-2493 |
Lewis M Bader, MD Radiology Medicare: Medicare Enrolled Practice Location: 2660 Main St, Suite 103, Bridgeport, CT 06606 Phone: 203-683-4540 Fax: 203-926-1415 | |
Deborah X Fang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Radiation Oncology Dept., Bridgeport, CT 06606 Phone: 203-576-5085 Fax: 203-576-5445 | |
Shashi Chaddha, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-5067 | |
Kusum Hooda, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3792 | |
Bruce Andrew Mcgibbon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3168 Fax: 203-384-4137 | |
Paul A. Aiello, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4699 Main St, Bridgeport, CT 06606 Phone: 203-683-4550 Fax: 203-926-1410 | |
Dr. Bruce Kovalenko, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Department Of Diagnostic Radiology, Bridgeport, CT 06610 Phone: 203-384-3170 |