Individual
GEORGE P GRILLO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 SOUTH ST, WARE, MA 01082-1667
(413) 967-3900
(413) 967-7777
Mailing address
85 SOUTH ST, WARE, MA 01082-1667
(413) 967-3900
(413) 967-7777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
60553
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-3041863004
ALL PRIVATE INSURANCE ID
MA
05
—
3040933
—
MA
01
—
J07973
BLUE CROSS AND BLUE SHIEL
MA
Enumeration date
09/30/2005
Last updated
07/09/2007
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