Marshall P Grodofsky, MD
Allergy & Immunology, Allergy in West Hartford, CT. Individual provider (NPI-1).
NPI number1841271699
StatusActive
Last updated in NPPESAug 25, 2015
Details
- NPI
- 1841271699
- Entity type
- Individual (NPI-1)
- Name
- Marshall P Grodofsky
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2005
- Last updated
- Aug 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207KA0200X | Allergy & Immunology, Allergy | 027137 | CT | Yes |
| 207K00000X | Allergy & Immunology | 027137 | CT | |
| 207KI0005X | Allergy & Immunology, Clinical & Laboratory Immunology | 027137 | CT | |
| 2080P0201X | Pediatrics, Pediatric Allergy/Immunology | 27137 | CT |
Practice location
836 Farmington AvenueSuite 207
West Hartford, CT 06119
Phone 860-232-9911 · Fax 860-233-5996
Mailing address
836 Farmington AvenueSuite 207
West Hartford, CT 06119
Phone 860-232-9911 · Fax 860-233-5996
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