| Till Medical Group | |
|
20 Eastbrook Rd Suite 201 Dedham MA 02026-2075 | |
| (781) 302-4600 | |
| Not Available |
| Full Name | Till Medical Group |
|---|---|
| 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 |
|---|---|
| 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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