IndividualActive
Mark Grogan, MD
NPI 1306909379 · Interventional Cardiology Physician · Derby, CT
Provider details
- NPI number
- 1306909379
- Entity type
- Individual
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 026818 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
130 Division Street
Derby, CT 06418
Phone: (203) 732-7455
Fax: (203) 735-5507
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 354
Derby, CT 06418
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.