Active NPIIndividual provider

Dr. Gillian B Grijalva, MD

Pediatrics in Brunswick, Maine

NPI Number1649408824
Practice location
74 Baribeau Dr, Brunswick, ME 04011-3218
Fax
207-798-4018
Last updated
September 15, 2020

Gillian Breslin Grijalva is a Pediatrics based in Brunswick, ME. Gillian Breslin Grijalva practices in Brunswick, ME and has the professional credentials of MD. The NPI Number for Gillian Breslin Grijalva is 1649408824 and holds a License No. 252563 (MA). The current practice location address for Gillian Breslin Grijalva is 74 Baribeau Dr, Brunswick, ME 04011-3218 and can be reached out via phone at 207-798-4050 and via fax at 207-798-4018.

Provider Profile Details

NPI Number
1649408824
Provider Name
Gillian Breslin Grijalva
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
74 Baribeau Dr, Brunswick, ME 04011-3218
Phone Number
207-798-4050
Fax Number
207-798-4018
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Provider Enumeration Date
June 26, 2009
Last Update Date
September 15, 2020
Certification Date
September 15, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
74 Baribeau Dr
Brunswick, ME 04011-3218
State
Maine
Zip
04011-3218
Phone Number
207-798-4050
Fax Number
207-798-4018
Brunswick, ME 04011Get directions →

Provider Business Mailing Address Details

Address
Po Box 9746
Portland, ME 04104-5040
City
Portland
State
ME
Zip
04104-5040

License Information

License Number (1)
252563
License State (1)
MA
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
276241
License State (2)
NY
Taxonomy (2)
Pediatrics · 208000000X
License Number (3)
MD23707
License State (3)
ME
Taxonomy (3)
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 Dr. Gillian B Grijalva, MD?

The NPI number of Dr. Gillian B Grijalva, MD is 1649408824. It was assigned on June 26, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Gillian B Grijalva, MD?

Dr. Gillian B Grijalva, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 252563.

Where does Dr. Gillian B Grijalva, MD practice?

The practice location is 74 Baribeau Dr, Brunswick, ME 04011-3218. The office can be reached at 207-798-4050 (phone) or 207-798-4018 (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 1649408824 directly on the NPPES registry website.

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