Individual
JENNIFER W GRILLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
900 FOULK RD, SUITE 200, WILMINGTON, DE 19803-3155
(302) 655-8868
(302) 655-3744
Mailing address
200 HYGEIA DR, CHRISTIANA CARE CORPORATE FINANCE CENTER, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C7-0004077
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2-0009653
MEDICAL LICENSE
DE
Enumeration date
05/06/2008
Last updated
04/06/2017
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