Cynthia Mae Wilson Grillo in Southbridge - Pediatrics

Cynthia Mae Wilson Grillo - NPI 1366458457

Cynthia Mae Wilson Grillo is a Pediatrics in Southbridge, Massachusetts. Cynthia Mae Wilson Grillo practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Cynthia Mae Wilson Grillo is 1366458457. The last update date is 2012-02-01.

Cynthia Mae Wilson Grillo's current location address is 100 South St, Southbridge, Massachusetts. You can contact this provider via phone number 5087643194 and fax number 5087655458. The mailing address for Cynthia Mae Wilson Grillo is 100 South St, Southbridge, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Cynthia Mae Wilson Grillo
Address 100 South St, Southbridge, Massachusetts
Phone Number 5087643194
Fax Number 5087655458
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1366458457
Provider Enumeration Date 2006-07-31
Last Updated Date 2012-02-01

Provider Mailing Address Detail

Address 100 South St
City Southbridge
State Massachusetts (MA)
Post Code 15504051
Phone Number 5087643194
Fax Number 5087655458

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 152581
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
220019 MA --

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FAQs about Cynthia Mae Wilson Grillo

What is the unique 10-digit identifier code issued to Cynthia Mae Wilson Grillo by the Centers for Medicare & Medicaid Services?

The Cynthia Mae Wilson Grillo has been assigned the NPI (National Provider Identifier) 1366458457 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Cynthia Mae Wilson Grillo?

The Cynthia Mae Wilson Grillo is physically situated at 100 South St, in the city of Southbridge, state of MA, with the postal code 15504051.

What is Cynthia Mae Wilson Grillo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Cynthia Mae Wilson Grillo is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.

When was the Cynthia Mae Wilson Grillo's 1366458457 issued?

The Cynthia Mae Wilson Grillo's 1366458457 was issued on 2006-07-31.

When was the Cynthia Mae Wilson Grillo's information last updated?

The Cynthia Mae Wilson Grillo's information was last updated on 2012-02-01.

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