Active NPIIndividual provider

Rebecca J Grillo, PA

Physician Assistant, Medical in North Haven, Connecticut

NPI Number1093856833
Practice location
52 Washington Ave, Suite 4, North Haven, CT 06473-1724
Fax
203-672-2801
Last updated
August 2, 2011

Rebecca Jude Grillo is a Physician Assistant, Medical based in North Haven, CT. Rebecca Jude Grillo practices in North Haven, CT and has the professional credentials of PA. The NPI Number for Rebecca Jude Grillo is 1093856833 and holds a License No. 001359 (CT). The current practice location address for Rebecca Jude Grillo is 52 Washington Ave, Suite 4, North Haven, CT 06473-1724 and can be reached out via phone at 203-672-2800 and via fax at 203-672-2801.

Provider Profile Details

NPI Number
1093856833
Provider Name
Rebecca Jude Grillo
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
52 Washington Ave, Suite 4, North Haven, CT 06473-1724
Phone Number
203-672-2800
Fax Number
203-672-2801
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
February 12, 2007
Last Update Date
August 2, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
52 Washington Ave
Suite 4
North Haven, CT 06473-1724
Zip
06473-1724
Phone Number
203-672-2800
Fax Number
203-672-2801
North Haven, CT 06473Get directions →

Provider Business Mailing Address Details

Address
52 Washington Ave
Suite 4
North Haven, CT 06473-1724
City
North Haven
State
CT
Zip
06473-1724
Phone Number
203-672-2800
Fax Number
203-672-2801

License Information

License Number
001359
License State
CT
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rebecca J Grillo, PA?

The NPI number of Rebecca J Grillo, PA is 1093856833. It was assigned on February 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Rebecca J Grillo, PA?

Rebecca J Grillo, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 001359.

Where does Rebecca J Grillo, PA practice?

The practice location is 52 Washington Ave, Suite 4, North Haven, CT 06473-1724. The office can be reached at 203-672-2800 (phone) or 203-672-2801 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093856833 directly on the NPPES registry website.

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