MARSHALL P GRODOFSKY (NPI# 1841271699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841271699 |
| Entity Type | Individual |
| Full Name | MARSHALL P GRODOFSKY |
| Credential | MD |
| Practice Address |
836 Farmington Avenue Suite 207 West Hartford CT 06119 |
| Practice Telephone | 8602329911 |
| Practice Fax Number | 8602335996 |
| Mailing Telephone | 8602329911 |
| Mailing Fax Number | 8602335996 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2015-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | 027137 | CT | Allopathic & Osteopathic Physicians |
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
027137 | CT | Allopathic & Osteopathic Physicians |
| N | 207KI0005X |
Allergy & Immunology Specialization: Clinical & Laboratory Immunology |
027137 | CT | Allopathic & Osteopathic Physicians |
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
27137 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 00127137800 | 05 | |
| OXFORD | P1870457 | 01 | |
| BLUE CROSS | 010027137CT01 | 01 | |
| CT | 001271378 | 05 | |
| CONNECTICARE | 020138 | 01 | |
| CIGNA | 0585739002 | 01 | |
| PREFERRED ONE | 216970 | 01 | |
| CT | OS2228 | 05 |
| Street Address |
836 FARMINGTON AVENUE SUITE 207 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760463400 | Jason O Lee | Allergy & Immunology | 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 | 2005-11-09 |
| 1568981918 | Kelly Schunder | Counselor | 836 Farmington Avenue, Suite 221b, West Hartford, CT 06119 | 2017-09-18 |
| 1093848988 | Gavin Schwarz | Allergy & Immunology | 836 Farmington Avenue, Suite 207, West Hartford, CT 06119-1551 | 2007-03-13 |
| 1659354082 | James Paul Rosen | Allergy & Immunology | 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 | 2005-11-21 |
| 1104807403 | Louis Moses Mendelson | Allergy & Immunology | 836 Farmington Avenue, Ste 207, West Hartford, CT 06119 | 2005-11-14 |
| 1457332298 | Jeffrey M Factor | Allergy & Immunology | 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 | 2005-11-09 |
| 1003897851 | Robert M Bedard | Allergy & Immunology | 836 Farmington Avenue, Suite 207, West Hartford, CT 06119-1505 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063957389 | Hannah Aliberti | Behavioral Analyst | 792 Farmington Ave, West Hartford, CT 06119 | 2016-12-21 |
| 1255752945 | Ctuc01 | Clinic/Center | 1030 Boulevard, West Hartford, CT 06119 | 2013-12-23 |
| 1962757088 | Arman Samad-zadeh | Dentist | 836 Farmington Ave Ste 115, West Hartford, CT 06119 | 2012-07-15 |
| 1356606123 | East West Obgyn | Obstetrics & Gynecology | 836 Farmington Ave. S. 211, West Hartford, CT 06119 | 2012-07-09 |
| 1285901314 | Onyeijen Mgbejume | Pharmacist | 674 Famington Avenue, West Hartford, CT 06119 | 2011-11-17 |
| 1134403553 | Cornelia F Sharrow | Social Worker | 17 South Highland St, West Hartford, CT 06119 | 2011-10-04 |
| 1952613218 | Lauren B Kopyt | Pediatrics | 785 Farmington Avenue, West Hartford, CT 06119 | 2010-07-02 |
| 1043542657 | Leticia Jacquet | Physical Therapist | 1022 Boulevard, #274, West Hartford, CT 06119 | 2010-02-06 |
| 1003051467 | Emily Bevelaqua Pellegrino | Music Therapist | 72 Maplewood Ave, West Hartford, CT 06119 | 2008-12-12 |
| 1124233473 | Theresa M Johnson | Counselor | 361 Park Rd, 3rd Fl, West Hurtford, CT 06119 | 2007-05-11 |
| Find all providers in zip 06119 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447597315 | New England Food Allergy Treatment Center | Allergy & Immunology | 836 Farmington Ave, Suite 138, West Hartford, CT 06119-1505 | 2013-01-11 |
| 1437341245 | Hillary Sunamoto Hernandez-trujillo | Allergy & Immunology | 836 Farmington Ave, Suite 207, West Hartford, CT 06119-1505 | 2007-08-15 |
| 1164443040 | Daniel Kordansky | Allergy & Immunology | 12 N Main St, West Hartford, CT 06107-1932 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447676127 | Robert Louis Debernardo Sr. | Allergy & Immunology | 15 Essex Ln, Trumbull, CT 06611-1005 | 2014-03-05 |
| 1073717351 | Northwest Allergy, P.C. | Allergy & Immunology | 72a Park Lane Rd, New Milford, CT 06776-2325 | 2007-06-12 |
| 1366504227 | Connecticut Medical Group, LLC | Allergy & Immunology | 2989 Dixwell Ave, Hamden, CT 06518-3501 | 2006-12-15 |
| 1467537290 | Starling Physicians, PC | Allergy & Immunology | 2110 Silas Deane Hwy, Rocky Hill, CT 06067-2313 | 2006-10-27 |
| 1881785673 | Mitchell Ross Lester | Allergy & Immunology | 148 E Avenue, Ste 3g, Norwalk, CT 06851 | 2006-09-27 |
| 1871523936 | Bruce E Englander | Allergy & Immunology | 160 Farmington Ave, Bristol, CT 06010-4218 | 2006-07-04 |
| 1578530507 | Pamela Laurie Kwittken | Allergy & Immunology | 40 Commerce Park, Milford, CT 06460-3535 | 2006-03-08 |
| 1316924749 | Doron J Ber | Allergy & Immunology | 23 Clara Dr, Suite 204, Mystic, CT 06355-1959 | 2005-12-28 |
| 1437142551 | Christopher Cronin Randolph | Allergy & Immunology | 1389 W Main St, Suite 205, Waterbury, CT 06708-3104 | 2005-08-24 |
| 1558367698 | Romana Primus | Allergy & Immunology | 1 Shaws Cv, New London, CT 06320-4902 | 2005-06-23 |
| Find all providers with the same taxonomy | ||||
| City | WEST HARTFORD |
| Zip Code | 06119 |
Please comment or provide details below to improve the information on MARSHALL P GRODOFSKY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.