Individual
DR. ADRIANA G CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 HIGHLAND ST, G1, MILTON, MA 02186-3881
(617) 696-2300
(617) 698-7542
Mailing address
100 HIGHLAND ST, G1, MILTON, MA 02186-3881
(617) 696-2300
(617) 698-7542
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
209121
MA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
209121
MA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
209121
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0186571
—
MA
Enumeration date
02/16/2006
Last updated
06/22/2021
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