Active NPIOrganization

Matrix Personalized Medicine LLC

Family Medicine in New Canaan, Connecticut

NPI Number1194454603
Practice location
45 Grove St, New Canaan, CT 06840-5330
Fax
—
Last updated
June 9, 2022

Matrix Personalized Medicine LLC is a healthcare organization based in New Canaan, CT. Matrix Personalized Medicine LLC practices in New Canaan, CT. The NPI Number for Matrix Personalized Medicine LLC is 1194454603. The current practice location address for Matrix Personalized Medicine LLC is 45 Grove St, New Canaan, CT 06840-5330 and can be reached out via phone at 203-920-1772.

Provider Profile Details

NPI Number
1194454603
Provider Name
Matrix Personalized Medicine LLC
Provider Entity Type
Organization
Address
45 Grove St, New Canaan, CT 06840-5330
Phone Number
203-920-1772
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Lawrence Leibowitz, MD · MD · 203-920-1772
Provider Enumeration Date
June 9, 2022
Last Update Date
June 9, 2022
Certification Date
June 9, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Grove St
New Canaan, CT 06840-5330
Zip
06840-5330
Phone Number
203-920-1772
New Canaan, CT 06840Get directions →

Provider Business Mailing Address Details

Address
45 Grove St
New Canaan, CT 06840-5330
City
New Canaan
State
CT
Zip
06840-5330

License Information

Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Matrix Personalized Medicine LLC?

The NPI number of Matrix Personalized Medicine LLC is 1194454603. It was assigned on June 9, 2022 and is currently active in the NPPES registry.

What is the specialty of Matrix Personalized Medicine LLC?

Matrix Personalized Medicine LLC is registered under the primary taxonomy Family Medicine (code 207Q00000X).

Where does Matrix Personalized Medicine LLC practice?

The practice location is 45 Grove St, New Canaan, CT 06840-5330. The office can be reached at 203-920-1772 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194454603 directly on the NPPES registry website.

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