Individual
ROBERT A GRILLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 WAHOO AVE, GROTON, CT 06349-2324
(860) 694-4966
(860) 694-3388
Mailing address
1 WAHOO AVE, GROTON, CT 06349-2324
(860) 694-4966
(860) 694-3388
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26488
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001264887
—
CT
Enumeration date
11/17/2005
Last updated
06/20/2023
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