Dr. Ira D Mickenberg, M.D.
Internal Medicine, Infectious Disease in Southbury, CT. Individual provider (NPI-1).
NPI number1285680751
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1285680751
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ira D Mickenberg
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 26, 2006
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | 014557 | CT | Yes |
Practice location
22 Old Waterbury RdSuite 201
Southbury, CT 06488-3848
Phone 203-264-6503 · Fax 203-262-1430
Mailing address
22 Old Waterbury RdSuite 201
Southbury, CT 06488-3848
Phone 203-264-6503 · Fax 203-262-1430
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