Grillo, Robert A

Grillo, Robert A is an individual health care provider with primary practice located at 1 Wahoo Ave , Groton CT 06349-2324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Grillo, Robert A can be contacted via phone (860) 694-4966.

Contact Information

Primary practice address
1 Wahoo Ave Groton CT 06349-2324
Phone: (860) 694-4966
Fax: (860) 694-3388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 26488 Connecticut

Profile Details

NPI number 1770565566
LBN Legal business name Grillo, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Jun 20th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770565566 NPPES
Connecticut MEDICAID 001264887

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