IRA D MICKENBERG

SOUTHBURY, CT
NPI1285680751
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: CT  014557)
Enumeration Date2006-05-26
Last Update Date2007-07-08
Business Address
Dr. IRA D MICKENBERG M.D.
22 OLD WATERBURY RD SUITE 201
SOUTHBURY, CT 06488-3848
Phone number: 203-264-6503
Mailing Address
Dr. IRA D MICKENBERG M.D.
22 OLD WATERBURY RD SUITE 201
SOUTHBURY, CT 06488-3848
Phone number: 203-264-6503
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