Individual
DR. JENNIFER A GRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
354 MERRIMACK ST, LAWRENCE, MA 01843
(978) 687-2321
(978) 722-7287
Mailing address
41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON, MA 01805-0001
(781) 744-8630
(781) 744-5581
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
212808
MA
2084N0400X
Neurology Physician
11624
NH
2084N0400X
Neurology Physician
Primary
212808
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0027070
NHP
MA
05
—
0171701
—
MA
01
—
01Y004898MA01
ANTHEM
NH
01
—
05-00651
EVERCARE
MA
01
—
05-00725
UHC
MA
01
—
111344
HPHC
MA
01
—
2081539-001
CIGNA
MA
01
—
212808
THP
MA
05
—
30203394
—
NH
01
—
55519
FCHP
MA
01
—
7725353
AETNA
MA
01
—
J24976
BCBSMA
MA
Enumeration date
09/26/2005
Last updated
06/12/2019
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