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NPI Code Detail

MEDICARE: MARION S GRABOWY MD

MEDICARE: MARION S GRABOWY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician028752CT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1050000703OTHERCTMEDICARE

General Provider Information

NPI Number : 1841291853
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARION S GRABOWY MD
Provider Business Mailing Address
First Line : 2408 WHITNEY AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-3209
Country : US
Telephone Number : 203-407-3500
Fax Number : 203-281-1164
Provider Business Practice Location Address
First Line : 84 N MAIN ST
Second Line :
City : BRANFORD
State : CT
Zip : 06405-3061
Country : US
Telephone Number : 203-483-2024
Fax Number : 203-483-2520
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 06/24/2013

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Directions to “ MARION S GRABOWY MD” Practice Location

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