MARSHALL P GRODOFSKY MD

Allergy and Immunology

West Hartford, Connecticut

Provider NPI: 1841271699

Provider Information:
 MARSHALL P GRODOFSKY MD


Practice Location:
836 FARMINGTON AVENUE SUITE 207 WEST HARTFORD, CT 06119 US
Tel: 860-232-9911  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	207K00000X	Physicians Allergy & Immunology	CT	027137
N	207KI0005X	Physicians Allergy & Immunology	CT	027137
N	2080P0201X	Physicians Pediatrics	CT	27137
Y	207KA0200X	Physicians Allergy & Immunology	CT	027137

Other Provider Identifiers:

Issuer	Number	State	Type
	00127137800	CT	05
OXFORD	P1870457		01
BLUE CROSS	010027137CT01		01
	001271378	CT	05
CONNECTICARE	020138		01
CIGNA	0585739002		01
PREFERRED ONE	216970		01
	OS2228	CT	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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