Mickenberg, Ira D

Mickenberg, Ira D is an individual health care provider with primary practice located at 22 Old Waterbury Rd Suite 201, Southbury CT 06488-3848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Mickenberg, Ira D can be contacted via phone (203) 264-6503.

Contact Information

Primary practice address
22 Old Waterbury Rd Suite 201 Southbury CT 06488-3848
Phone: (203) 264-6503
Fax: (203) 262-1430
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 014557 Connecticut

Profile Details

NPI number 1285680751
LBN Legal business name Mickenberg, Ira D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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