# CONNECTICUT ASTHMA & ALLERGY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386604270
- **Authorized official:** MARSHALL P GRODOFSKY MD (PHYSICIAN MEMBER)
- **Authorized official phone:** (860) 232-9911

## Contact information

- **Practice address:** 836 FARMINGTON AVE, SUITE 207, WEST HARTFORD, CT 06119
- **Practice address phone:** (860) 232-9911
- **Practice address fax:** (860) 233-5996
- **Mailing address:** 836 FARMINGTON AVE, SUITE 207, WEST HARTFORD, CT 06119
- **Mailing address phone:** (860) 232-9911
- **Mailing address fax:** (860) 233-5996

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207KI0005X | Clinical & Laboratory Immunology (Allergy & Immunology) Physician | — | NULL | Yes |
| 207KI0005X | Clinical & Laboratory Immunology (Allergy & Immunology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/24/2006
- **Last updated:** 09/28/2011