Provider Demographics
NPI:1134395445
Name:GRILLI, CHRISTOPHER JOSEPH (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JOSEPH
Last Name:GRILLI
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:4755 OGLETOWN - STANTON ROAD
Mailing Address - Street 2:SUITE 1E-20
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19718
Mailing Address - Country:US
Mailing Address - Phone:302-733-5625
Mailing Address - Fax:302-733-5665
Practice Address - Street 1:4755 OGLETOWN - STANTON ROAD
Practice Address - Street 2:SUITE 1E-20
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718
Practice Address - Country:US
Practice Address - Phone:302-733-5625
Practice Address - Fax:302-733-5665
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-06
Last Update Date:2017-01-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEC7-00040332085R0204X
PAOS0168942085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology