Individual
DR. NICHOLAS LILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 POST RD, FAIRFIELD, CT 06824-6232
(203) 374-4966
Mailing address
425 POST RD, FAIRFIELD, CT 06824-6232
(203) 374-4966
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
051628
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2008
Last updated
05/12/2020
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