| Matrix Personalized Medicine Llc | |
|
45 Grove St New Canaan CT 06840-5330 | |
| (203) 920-1772 | |
| Not Available |
| Full Name | Matrix Personalized Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 45 Grove St, New Canaan, Connecticut |
| Authorized Official Name and Position | Lawrence Leibowitz (MD) |
| Authorized Official Contact | 2039201772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matrix Personalized Medicine Llc 45 Grove St New Canaan CT 06840-5330 Ph: () - | Matrix Personalized Medicine Llc 45 Grove St New Canaan CT 06840-5330 Ph: (203) 920-1772 |
| NPI Number | 1194454603 |
|---|---|
| Provider Enumeration Date | 06/09/2022 |
| Last Update Date | 06/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194454603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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