Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth J. Maiocco, MD, PC

Organization Dermatology Physician · NPI 1487847570

Kenneth J. Maiocco, MD, PC is a Dermatology Physician in Bridgeport, Connecticut. Licensed in Connecticut. Registered with an NPI since 2007.

Licensed in
CT
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4639 Main St
Bridgeport, CT 06606-1838
Phone: (203) 374-5546
Fax: (302) 371-4056
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 013652 (CT)

Record details

NPI number1487847570
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Maiocco — Practice Administrator · (203) 374-5130
NPI enumeratedAugust 22, 2007
Last updated in NPPESAugust 22, 2007
Mailing address4639 Main St, Bridgeport, CT 06606-1838

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