Connecticut Asthma & Allergy Center LLC
Allergy & Immunology, Clinical & Laboratory Immunology in West Hartford, CT. Organization (NPI-2).
NPI number1386604270
StatusActive
Last updated in NPPESSep 28, 2011
Details
- NPI
- 1386604270
- Entity type
- Organization (NPI-2)
- Legal business name
- Connecticut Asthma & Allergy Center LLC
- Organization subpart
- No
- Enumeration date
- Mar 24, 2006
- Last updated
- Sep 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207KI0005X | Allergy & Immunology, Clinical & Laboratory Immunology | – | – | Yes |
Practice location
836 Farmington AveSuite 207
West Hartford, CT 06119
Phone 860-232-9911 · Fax 860-233-5996
Mailing address
836 Farmington AveSuite 207
West Hartford, CT 06119
Phone 860-232-9911 · Fax 860-233-5996
Authorized official
Marshall P Grodofsky
Physician Member
8602329911
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