Active NPIIndividual provider

Ms. Cynthia M Wilson Grillo, DO

Pediatrics in Southbridge, Massachusetts

NPI Number1366458457
Practice location
100 South St, Suite 102, Southbridge, MA 01550-4051
Fax
508-765-5458
Last updated
February 1, 2012

Cynthia Mae Wilson Grillo is a Pediatrics based in Southbridge, MA. Cynthia Mae Wilson Grillo practices in Southbridge, MA and has the professional credentials of DO. The NPI Number for Cynthia Mae Wilson Grillo is 1366458457 and holds a License No. 152581 (MA). The current practice location address for Cynthia Mae Wilson Grillo is 100 South St, Suite 102, Southbridge, MA 01550-4051 and can be reached out via phone at 508-764-3194 and via fax at 508-765-5458.

Provider Profile Details

NPI Number
1366458457
Provider Name
Cynthia Mae Wilson Grillo
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
100 South St, Suite 102, Southbridge, MA 01550-4051
Phone Number
508-764-3194
Fax Number
508-765-5458
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
July 31, 2006
Last Update Date
February 1, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 South St
Suite 102
Southbridge, MA 01550-4051
Zip
01550-4051
Phone Number
508-764-3194
Fax Number
508-765-5458
Southbridge, MA 01550Get directions →

Provider Business Mailing Address Details

Address
100 South St
Suite 102
Southbridge, MA 01550-4051
City
Southbridge
State
MA
Zip
01550-4051
Phone Number
508-764-3194
Fax Number
508-765-5458

License Information

License Number
152581
License State
MA
Taxonomy
Pediatrics · 208000000X · 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 Ms. Cynthia M Wilson Grillo, DO?

The NPI number of Ms. Cynthia M Wilson Grillo, DO is 1366458457. It was assigned on July 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Cynthia M Wilson Grillo, DO?

Ms. Cynthia M Wilson Grillo, DO is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 152581.

Where does Ms. Cynthia M Wilson Grillo, DO practice?

The practice location is 100 South St, Suite 102, Southbridge, MA 01550-4051. The office can be reached at 508-764-3194 (phone) or 508-765-5458 (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 1366458457 directly on the NPPES registry website.

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