Dr SUSAN GRILLO is a female medical professional, specializing in Nurse Practitioner. She graduated in 1980.
NORTHEAST MEDICAL GROUP INC
365 MONTAUK AVE
NEW LONDON
CT
063204700
Tel: 8604443735
| Npi | 1962584284 |
| Pac Id | 2961551338 |
| Professional Enrollment Id | I20090514000568 |
| Last Name | GRILLO |
| First Name | SUSAN |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1980 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
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| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Group Practice Pac Id | 1254233836 |
| Number Of Group Practice Members | 1042 |
| Line 1 Street Address | 365 MONTAUK AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | NEW LONDON |
| State | CT |
| Zip Code | 063204700 |
| Phone Number | 8604443735 |
| Hospital Affiliation Ccn 1 | 070007 |
| Hospital Affiliation Lbn 1 | LAWRENCE & MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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