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DAVID MITCHELL GRODBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
651 PROSPECT ST, NEW HAVEN, CT 06511-2003
(212) 369-7094
Mailing address
651 PROSPECT ST, NEW HAVEN, CT 06511-2003
(212) 369-7094

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036480
CT
2084P0800X
Psychiatry Physician
202414
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036480
CT

Other

Enumeration date
05/22/2007
Last updated
04/14/2015
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