Individual
DR. NEIL R LIEBOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1115 WEST ST, SOUTHINGTON, CT 06489-6025
(860) 276-6000
(860) 276-6059
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 276-6000
(860) 276-6059
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
025716
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010025716CT05
ANTHEM BC
CT
01
—
P652961
OXFORD
—
Enumeration date
03/21/2006
Last updated
09/15/2022
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