Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW JON WOODCOCK, PHD, TC(NRCC)
Active Sole ProprietorDR. MATTHEW JON WOODCOCK, PHD, TC(NRCC) is a Clinical Medical Laboratory healthcare provider located in GROTON, Connecticut. NPI 1659104867 is currently active in the NPPES registry. Verify at CMS.
Clinical Medical Laboratory · GROTON, CT
Registration Details
- NPI Number
- 1659104867
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2024 (2.0101199402407 yrs)
- Last Updated
- Aug 22, 2024
- License
-
07D2270460 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
93 SHENNECOSSETT RD # LAB128GROTON, CT, 063405115Browse CT providers · Browse ZIP 06340
- Phone
- 6465686493
- Primary Specialty
-
Clinical Medical Laboratory
291U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.