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 |
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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