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Dr. Samantha Grillo, M.D.

Orthopaedic Surgery in Camp Lejeune, NC. Individual provider (NPI-1).

NPI number1164583449
StatusActive
Last updated in NPPESAug 16, 2012

Details

NPI
1164583449
Entity type
Individual (NPI-1)
Name
Dr. Samantha Grillo
Credential
M.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 12, 2006
Last updated
Aug 16, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery9897MTYes

Practice location

100 Brewster Blvd
Naval Hospital
Camp Lejeune, NC 28547-2538

Phone 910-450-4159 · Fax 910-450-4194

Mailing address

100 Brewster Blvd
Naval Hospital
Camp Lejeune, NC 28547-2538

Phone 910-450-4159 · Fax 910-450-4194

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