Kenneth Joseph Maiocco, M.D. Valid NPI

Individual provider · Dermatology Physician · Bridgeport, CT

NPI

1144280637

Type

Individual (Type 1)

Primary specialty

Dermatology Physician (Dermatology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207N00000X

License number

013652 (CT)

Sex

Male

Sole proprietor

No

Enumerated

2006-03-27

Last updated

2019-02-06