George P Grillo, M.D.
Individual provider Active NPI Family Medicine Physician · Ware, MA
NPI 1104813666 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1104813666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 60553 (MA)
- Practice address
- 85 South St
Ware, MA 01082-1667 - Phone
- (413) 967-3900
- Fax
- (413) 967-7777
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 60553 | MA | Yes |
Addresses
Primary practice location
85 South St
Ware, MA 01082-1667
Mailing address
85 South St
Ware, MA 01082-1667
Phone (413) 967-3900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04-3041863004 | Other | MA | ALL PRIVATE INSURANCE ID |
| J07973 | Other | MA | BLUE CROSS AND BLUE SHIEL |
| 3040933 | Medicaid | MA |
Other providers in Ware, MA
- Jacqueline Marie Goddard
- Natasha Ann Gomez
- Elizabeth Anne Goodale I
- Sarah Gould
- Becca Greene-Van Horn
- Randy Guertin
- Susan Guzik
- Gerald Francis Hageman
- Hakim Medical PC
- Hakim Medical PC
All providers in Ware, MA · Family Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.