Till Medical Group | |
20 Eastbrook Rd Suite 201 Dedham MA 02026-2075 | |
(781) 302-4600 | |
Not Available |
Full Name | Till Medical Group |
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Speciality | Psychiatry & Neurology - Neurology |
Location | 20 Eastbrook Rd, Dedham, Massachusetts |
Authorized Official Name and Position | Dafna Krouk-gordon (PRESIDENT) |
Authorized Official Contact | 7813024600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Till Medical Group 20 Eastbrook Rd Suite 201 Dedham MA 02026-2075 Ph: (781) 302-4600 | Till Medical Group 20 Eastbrook Rd Suite 201 Dedham MA 02026-2075 Ph: (781) 302-4600 |
NPI Number | 1528294832 |
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Provider Enumeration Date | 06/02/2009 |
Last Update Date | 06/02/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528294832 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 73077 (Massachusetts) | Primary |
363LA2200X | Nurse Practitioner - Adult Health | 199217 (Massachusetts) | Secondary |
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