NPIRadar

David Mitchell Grodberg, MD Valid NPI

Individual provider · Child & Adolescent Psychiatry Physician · New Haven, CT

NPI
1447469606
Type
Individual (Type 1)
Primary specialty
Child & Adolescent Psychiatry Physician (Psychiatry & Neurology)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
2084P0804X
License number
036480 (CT)
Sex
Male
Sole proprietor
Yes
Enumerated
2007-05-22
Last updated
2015-04-14
Practice location
651 Prospect St
New Haven, CT 06511-2003
(212) 369-7094

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