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Individual

DR. MADISON ALEXANDER DUNCAN LEITCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
40 PROSPECT AVE BLDG 2, NORWALK, CT 06850-3737
(718) 938-0813
Mailing address
40 PROSPECT AVE BLDG 2, NORWALK, CT 06850-3737
(718) 938-0813

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CT

Other

Enumeration date
07/24/2012
Last updated
07/24/2012
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