Jerry P Malefatto in Trumbull - Hematology & Oncology

Jerry P Malefatto - NPI 1114011343

Jerry P Malefatto is a Hematology & Oncology in Trumbull, Connecticut. Jerry P Malefatto practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Jerry P Malefatto is 1114011343. The last update date is 2007-07-08.

Jerry P Malefatto's current location address is 15 Corporate Drive, Trumbull, Connecticut. You can contact this provider via phone number 2034590262 and fax number 2034590264. The mailing address for Jerry P Malefatto is 15 Corporate Drive, Trumbull, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry P Malefatto
Address 15 Corporate Drive, Trumbull, Connecticut
Phone Number 2034590262
Fax Number 2034590264
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1114011343
Provider Enumeration Date 2006-10-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 15 Corporate Drive
City Trumbull
State Connecticut (CT)
Post Code 6611
Phone Number 2034590262
Fax Number 2034590264

Provider's Primary Taxonomy Detail

Speciality Hematology & Oncology
Taxonomy 207Rh0003X
Licence No 31058
Definition:
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
25464 OXFORD
010031058CT01 CT ANTHEM
1310581 CT --
1410 HEALTHNET

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FAQs about Jerry P Malefatto

What is the unique 10-digit identification code assigned to Jerry P Malefatto by the Centers for Medicare & Medicaid Services?

The Jerry P Malefatto has been issued the NPI (National Provider Identifier) 1114011343, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jerry P Malefatto is located?

The Jerry P Malefatto is situated at the following address: 15 Corporate Drive, Trumbull, CT, 6611.

What is Jerry P Malefatto's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jerry P Malefatto is Hematology & Oncology, and the taxonomy code that classifies this field of practice is 207Rh0003X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1114011343 to Jerry P Malefatto?

The Centers for Medicare & Medicaid Services originally issued the 1114011343 to Jerry P Malefatto on 2006-10-03.

As of what date were the Jerry P Malefatto's details last updated?

The information pertaining to the Jerry P Malefatto, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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