MEDICARE: ARTHUR L LEBOWITZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	037737	CT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	110170615	OTHER	CT	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	010037737CT01	OTHER	CT	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205851169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR L LEBOWITZ M.D.

Provider Business Mailing Address
First Line	:	500 CHASE PKWY
Second Line	:	3RD FLOOR
City	:	WATERBURY
State	:	CT
Zip	:	06708-3346
Country	:	US
Telephone Number	:	203-574-5504
Fax Number	:	203-574-1275

Provider Business Practice Location Address
First Line	:	130 S MAIN ST
Second Line	:
City	:	THOMASTON
State	:	CT
Zip	:	06787-1741
Country	:	US
Telephone Number	:	860-283-0286
Fax Number	:	203-575-5119

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	06/18/2018

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