Individual
ALEX GRILLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 CONGRESS ST, QUINCY, MA 02169-0908
(617) 774-1717
Mailing address
500 CONGRESS ST, QUINCY, MA 02169-0908
(617) 774-1717
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
214103
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0198731
—
MA
Enumeration date
05/19/2006
Last updated
09/12/2013
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