| 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 | |
Shayna Beth Burke, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 928 Farmington Ave, West Hartford, CT 06107 Phone: 860-233-6293 Fax: 860-236-7223 | |
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 |