Organization
CADTC PARTNERS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL R LIEBOWITZ MD (MEDICAL DIRECTOR PARTNER)
(860) 677-2550
Entity
Organization
Contact information
Practice address
1031 FARMINGTON AVE, FARMINGTON, CT 06032
(860) 677-2550
(860) 677-4975
Mailing address
1031 FARMINGTON AVE, FARMINGTON, CT 06032
(860) 677-2550
(860) 677-4975
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169896
MHN
CT
01
—
50CADTCLPCT01
ANTHEM BC
CT
Enumeration date
07/06/2006
Last updated
12/17/2007
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