Marshall P Grodofsky, MD | |
836 Farmington Avenue, Suite 207, West Hartford, CT 06119 | |
(860) 232-9911 | |
(860) 233-5996 |
Full Name | Marshall P Grodofsky |
---|---|
Gender | Male |
Speciality | Allergy & Immunology - Allergy |
Location | 836 Farmington Avenue, West Hartford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841271699 | NPI | - | NPPES |
001271378 | Medicaid | CT | |
0585739002 | Other | CIGNA | |
P1870457 | Other | OXFORD | |
OS2228 | Medicaid | CT | |
00127137800 | Medicaid | CT | |
010027137CT01 | Other | BLUE CROSS | |
020138 | Other | CONNECTICARE | |
216970 | Other | PREFERRED ONE |
Entity Name | Connecticut Asthma & Allergy Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386604270 PECOS PAC ID: 4082603543 Enrollment ID: O20040510000851 |
Mailing Address | Practice Location Address |
---|---|
Marshall P Grodofsky, MD 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 Ph: (860) 232-9911 | Marshall P Grodofsky, MD 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 Ph: (860) 232-9911 |
Robert M Bedard, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 Phone: 860-232-9911 Fax: 860-233-5996 | |
Daniel Kordansky, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 12 N Main St, West Hartford, CT 06107 Phone: 860-233-2444 | |
Jeffrey M Factor, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 Phone: 860-232-9911 Fax: 860-233-5996 | |
Jasmine M Abbosh, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 836 Farmington Ave, Suite 207, West Hartford, CT 06119 Phone: 860-232-9911 Fax: 860-233-5996 | |
James Paul Rosen, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 Phone: 860-232-9911 Fax: 860-233-5996 | |
Dr. Leonard Cohen, M.D., PH.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 928 Farmington Ave, West Hartford, CT 06107 Phone: 860-233-6293 | |
Jason O Lee, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 836 Farmington Avenue, Suite 207, West Hartford, CT 06119 Phone: 860-232-9911 Fax: 860-233-5996 |