Individual
DR. MATTHEW JON WOODCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, TC(NRCC)
Contact information
Practice address
93 SHENNECOSSETT RD # LAB128, GROTON, CT 06340-5115
(646) 568-6493
Mailing address
10 JORDAN LN, EAST FREETOWN, MA 02717-1035
(508) 562-0386
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
07D2270460
CT
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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