MEDICARE: DR. TODD M PARRILLA DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	OOO415	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851356505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TODD M PARRILLA DO

Provider Business Mailing Address
First Line	:	40 PELLEGRINO RD
Second Line	:
City	:	STONINGTON
State	:	CT
Zip	:	06378-2128
Country	:	US
Telephone Number	:	860-535-3421
Fax Number	:	860-599-3575

Provider Business Practice Location Address
First Line	:	20 S ANGUILLA RD
Second Line	:
City	:	PAWCATUCK
State	:	CT
Zip	:	06379-1447
Country	:	US
Telephone Number	:	860-599-3839
Fax Number	:	860-599-3575

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	07/08/2007

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