Individual
MATTHEW RICHARD LEIBOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2014 WASHINGTON ST, BLUE 401, NEWTON, MA 02462-1607
(617) 243-6597
(617) 243-6575
Mailing address
2014 WASHINGTON ST, BLUE 401, NEWTON, MA 02462-1607
(617) 243-6597
(617) 243-6575
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
80315
MA
207RI0200X
Infectious Disease Physician
G82313
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G823130
—
CA
Enumeration date
07/19/2006
Last updated
04/22/2016
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