| NPI | 1386604270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL P GRODOFSKY Physician Member 860-232-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2011-09-28 |