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Individual
MARSHALL SALVATORE GRILLO JR.
Active
Individual
MARSHALL SALVATORE GRILLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
0102203257
VA
2086S0129X
Vascular Surgery Physician
011005
AZ
2086S0129X
Vascular Surgery Physician
2205
TN
2086S0129X
Vascular Surgery Physician
5101011025
MI
2086S0129X
Vascular Surgery Physician
OS010217L
PA
2086S0129X
Vascular Surgery Physician
Primary
OS20499
FL
2086S0129X
Vascular Surgery Physician
TP053
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000566339
ANTHEM
KY
05
—
0017202200012
—
PA
05
—
1730114448
—
VA
01
—
176254
BS HIGHMARK
PA
01
—
821942
1ST PRIORITY HEALTHCARE
PA
05
—
PENDING
—
FL
01
—
V0803
HFMG
FL
Enumeration date
07/11/2006
Last updated
09/05/2025
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