Individual
HEATHER L GRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
51 N 39TH ST, 245 WRIGHT SAUNDERS, PHILADELPHIA, PA 19104-2640
(215) 615-5864
Mailing address
51 N 39TH ST, 245 WRIGHT SAUNDERS, PHILADELPHIA, PA 19104-2640
(215) 615-5864
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00230300
NJ
363AM0700X
Medical Physician Assistant
Primary
MA054199
PA
Other
Enumeration date
01/29/2010
Last updated
05/29/2015
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