Marshall P Grodofsky (NPI# 1841271699, PAC ID# 1254320740) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1841271699 |
| PAC ID by PECOS | 1254320740 |
| Professional Enrollment ID | I20100924000653 |
| Full Name | Marshall P Grodofsky |
| Organization Legal Name | CONNECTICUT ASTHMA AND ALLERGY CENTER LLC |
| Address |
483 Middle Tpke W Suite 323 Manchester CT 06040-3865 |
| Phone Number | 8606490601 |
| Gender | M |
| Medical School | HARVARD MEDICAL SCHOOL |
| Graduation Year | 1981 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 4082603543 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 483 Middle Tpke W, Suite 323, Manchester, CT 06040-3865 | 8606490601 | CONNECTICUT ASTHMA AND ALLERGY CENTER LLC |
| 836 Farmington Ave, Suite 207, West Hartford, CT 06119-1544 | 8602329911 | CONNECTICUT ASTHMA AND ALLERGY CENTER LLC |
| Organization Legal Name | CONNECTICUT ASTHMA AND ALLERGY CENTER LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gavin Schwarz | Allergy/immunology | Connecticut Asthma and Allergy Center LLC | 483 Middle Tpke W, Suite 323, Manchester, CT 06040-3865 |
| Hillary S Hernandez-trujillo | Allergy/immunology | Connecticut Asthma and Allergy Center LLC | 836 Farmington Ave, Suite 207, West Hartford, CT 06119-1544 |
| Jeffrey M Factor | Allergy/immunology | Connecticut Asthma and Allergy Center LLC | 836 Farmington Ave, Suite 207, West Hartford, CT 06119-1544 |
| Jasmine M Abbosh | Allergy/immunology | Connecticut Asthma and Allergy Center LLC | 836 Farmington Ave, Suite 207, West Hartford, CT 06119-1544 |
| Olivia C Dellostritto | Physician Assistant | Connecticut Asthma and Allergy Center LLC | 836 Farmington Ave, Suite 207, West Hartford, CT 06119-1544 |
| Jason Onyong Lee | Allergy/immunology | Connecticut Asthma and Allergy Center LLC | 483 Middle Tpke W, Suite 323, Manchester, CT 06040-3865 |
| Wei An | Allergy/immunology | Connecticut Asthma and Allergy Center LLC | 836 Farmington Ave, Suite 207, West Hartford, CT 06119-1544 |
| Street Address |
483 MIDDLE TPKE W SUITE 323 |
| City | MANCHESTER |
| State | CT |
| Zip | 06040-3865 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gavin Schwarz | Allergy/immunology | Connecticut Asthma and Allergy Center LLC | 483 Middle Tpke W, Suite 323, Manchester, CT 06040-3865 |
| Marcella A Macdonald | Podiatry | 483 Middle Tpke W, Suite 223, Manchester, CT 06040-3864 | |
| Carmen J Monaco | Clinical Social Worker | 483 Middle Tpke W, Suite 217, Manchester, CT 06040-3864 | |
| Jason Onyong Lee | Allergy/immunology | Connecticut Asthma and Allergy Center LLC | 483 Middle Tpke W, Suite 323, Manchester, CT 06040-3865 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey Elizabeth Wood | Physician Assistant | Family Medicine Center,llc | 574 Middle E Tpke, Manchester, CT 06040-3730 |
| Christine M Knight | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Jordan Taylor Honahan | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Krista A Catalan | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Zachary David Crickmore | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Eric Stearns | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Kelsey Magrisso | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Kristen Lindsay | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Matthew Reynolds | Physical Therapy | Integrated Rehabilitation Services, LLC | 586 E Middle Tpke, Manchester, CT 06040-3730 |
| Isaac Okyere Ampofo | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 629 Middle Tpke E, Manchester, CT 06040-3731 |
| Find all physicians in zip 06040 | |||
| City | MANCHESTER |
| Zip Code | 06040 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | MANCHESTER + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on Marshall P Grodofsky.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.