Ira D Mickenberg in Southbury - Infectious Disease
Ira D Mickenberg - NPI 1285680751
Ira D Mickenberg is a Infectious Disease in Southbury, Connecticut. Ira D Mickenberg practices all healthcare services and medical treatments related to Infectious Disease. The NPI Number for Ira D Mickenberg is 1285680751. The last update date is 2007-07-08.
Ira D Mickenberg's current location address is 22 Old Waterbury Rd, Southbury, Connecticut. You can contact this provider via phone number 2032646503 and fax number 2032621430. The mailing address for Ira D Mickenberg is 22 Old Waterbury Rd, Southbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ira D Mickenberg |
|---|---|
| Address | 22 Old Waterbury Rd, Southbury, Connecticut |
| Phone Number | 2032646503 |
| Fax Number | 2032621430 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1285680751 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 22 Old Waterbury Rd |
|---|---|
| City | Southbury |
| State | Connecticut (CT) |
| Post Code | 64883848 |
| Phone Number | 2032646503 |
| Fax Number | 2032621430 |
Provider's Primary Taxonomy Detail
| Speciality | Infectious Disease |
|---|---|
| Taxonomy | 207Ri0200X |
| Licence No | 14557 |
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Definition: An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers whi |
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What is the unique provider identifier assigned to Ira D Mickenberg?
The Ira D Mickenberg has been issued the NPI (National Provider Identifier) 1285680751 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ira D Mickenberg?
The Ira D Mickenberg is physically situated at 22 Old Waterbury Rd, in the city of Southbury, state of CT, with the postal code 64883848.
What is the area of specialization for Ira D Mickenberg, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ira D Mickenberg is Infectious Disease, and the corresponding taxonomy code that categorizes this area of expertise is 207Ri0200X.
When did Ira D Mickenberg receive its 1285680751 assignment?
The Ira D Mickenberg was assigned its 1285680751 on 2006-05-26, which is the date when this unique identifier was issued to the organization.
As of what date were the Ira D Mickenberg's details last updated?
The information pertaining to the Ira D Mickenberg, including its address, specialty, and other details, was most recently updated on 2007-07-08.