Kenneth Maiocco (NPI# 1144280637, PAC ID# 4385816321) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1144280637 |
| PAC ID by PECOS | 4385816321 |
| Professional Enrollment ID | I20111017000430 |
| Full Name | Kenneth Maiocco |
| Organization Legal Name | MOSS AND MAIOCCO MD LLC |
| Address |
4639 Main St Bridgeport CT 06606-1832 |
| Phone Number | 2033745546 |
| Gender | M |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 1967 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 5597937532 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4639 Main St, Bridgeport, CT 06606-1832 | 2033745546 | MOSS AND MAIOCCO MD LLC |
| 8 E Main St, Suite 101, Clinton, CT 06413-2058 | 9853707546 | INTEGRATED DERMATOLOGY OF CLINTON LLC |
| Organization Legal Name | MOSS AND MAIOCCO MD LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory J Rau | Physician Assistant | Moss and Maiocco Md LLC | 4639 Main St, Bridgeport, CT 06606-1832 |
| Jeremy Moss | Dermatology | Moss and Maiocco Md LLC | 4639 Main St, Bridgeport, CT 06606-1832 |
| Street Address |
4639 MAIN ST |
| City | BRIDGEPORT |
| State | CT |
| Zip | 06606-1832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory J Rau | Physician Assistant | Moss and Maiocco Md LLC | 4639 Main St, Bridgeport, CT 06606-1832 |
| Jeremy Moss | Dermatology | Moss and Maiocco Md LLC | 4639 Main St, Bridgeport, CT 06606-1832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen Dean Breda | Otolaryngology | 4695 Main St, Suite 1, Bridgeport, CT 06606-1802 | |
| Jeffrey D Small | Urology | 4695 Main St, Bridgeport, CT 06606-1802 | |
| Abed Alkhatib | Oral Surgery | Oral Surgery Associates, L.l.c | 4747 Main St, Bridgeport, CT 06606-1804 |
| Robert P Horne | Oral Surgery | Oral Surgery Associates, L.l.c | 4747 Main St, Bridgeport, CT 06606-1804 |
| Howard B Twersky | Oral Surgery | Oral Surgery Associates, L.l.c | 4747 Main St, Bridgeport, CT 06606-1804 |
| David Brown | Orthopedic Surgery | Orthocare Specialists,llc | 4747 Main St, Bridgeport, CT 06606-1804 |
| Chiquana Allman | Nurse Practitioner | Sanitas of Connecticut LLC | 4551 Main St, Bridgeport, CT 06606-1818 |
| Noel S Thompson | Chiropractic | Chiropractic Associates of Bridgeport LLC | 4444 Main St, Bridgeport, CT 06606-1820 |
| Victor M Ribeiro | Chiropractic | Chiropractic Associates of Bridgeport LLC | 4444 Main St, Bridgeport, CT 06606-1820 |
| Patricia A Collins | Chiropractic | Chiropractic Associates of Bridgeport LLC | 4444 Main St, Bridgeport, CT 06606-1820 |
| Find all physicians in zip 06606 | |||
| City | BRIDGEPORT |
| Zip Code | 06606 |
| Specialty | DERMATOLOGY |
| City + Specialty | BRIDGEPORT + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.