Marshall P Grodofsky in West Hartford - Clinical & Laboratory Immunology

Marshall P Grodofsky - NPI 1841271699

Marshall P Grodofsky is a Clinical & Laboratory Immunology in West Hartford, Connecticut. Marshall P Grodofsky practices all healthcare services and medical treatments related to Clinical & Laboratory Immunology. The NPI Number for Marshall P Grodofsky is 1841271699. The last update date is 2015-08-25.

Marshall P Grodofsky's current location address is 836 Farmington Avenue, West Hartford, Connecticut. You can contact this provider via phone number 8602329911 and fax number 8602335996. The mailing address for Marshall P Grodofsky is 836 Farmington Avenue, West Hartford, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Marshall P Grodofsky
Address 836 Farmington Avenue, West Hartford, Connecticut
Phone Number 8602329911
Fax Number 8602335996
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1841271699
Provider Enumeration Date 2005-11-09
Last Updated Date 2015-08-25

Provider Mailing Address Detail

Address 836 Farmington Avenue
City West Hartford
State Connecticut (CT)
Post Code 6119
Phone Number 8602329911
Fax Number 8602335996

Provider's Primary Taxonomy Detail

Speciality Clinical & Laboratory Immunology
Taxonomy 207Ki0005X
Licence No 27137
Definition:
An allergy and immunology physician who specializes in clinical and laboratory immunology disease management..

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1271378 CT --
585739002 CIGNA
P1870457 OXFORD
OS2228 CT --
127137800 CT --
010027137CT01 BLUE CROSS
20138 CONNECTICARE
216970 PREFERRED ONE

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FAQs about Marshall P Grodofsky

What is the unique 10-digit identifier code assigned to Marshall P Grodofsky by the Centers for Medicare & Medicaid Services?

The Marshall P Grodofsky has been issued the NPI (National Provider Identifier) 1841271699 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Marshall P Grodofsky is located?

The Marshall P Grodofsky is situated at the following address: 836 Farmington Avenue, West Hartford, CT, 6119.

What is the Marshall P Grodofsky's area of specialization and corresponding taxonomy classification?

The Marshall P Grodofsky's specialty field is Clinical & Laboratory Immunology, and it falls under the taxonomy code 207Ki0005X, which categorizes healthcare providers based on their specialties.

On what date was the 1841271699 assigned to Marshall P Grodofsky?

The Marshall P Grodofsky was issued its 1841271699 on 2005-11-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Marshall P Grodofsky most recently updated or revised?

The details related to Marshall P Grodofsky, including its address, specialty, and other relevant information, were last updated or revised on 2015-08-25.

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