DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. IRA D MICKENBERG, M.D.

Active

DR. IRA D MICKENBERG, M.D. is a Infectious Disease healthcare provider located in SOUTHBURY, Connecticut. NPI 1285680751 is currently active in the NPPES registry. Verify at CMS.

Infectious Disease · SOUTHBURY, CT

Registration Details

NPI Number
1285680751
Provider Type
Individual
Gender
Male
NPI Issued
May 26, 2006 (20.256503782484 yrs)
Last Updated
Jul 8, 2007
License
014557 (CT)

Practice Information

Address
22 OLD WATERBURY RD
SUITE 201
SOUTHBURY, CT, 064883848
Browse CT providers · Browse ZIP 06488
Phone
2032646503
Fax
2032621430
Primary Specialty
Infectious Disease
207RI0200X

Other Infectious Disease Providers in SOUTHBURY, CT

Name Credential NPI
DR. PETER J PILIERO MD 1972861896
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.