| NPI | 1528294832 |
|---|---|
| Doing Business As | TILL MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DAFNA KROUK-GORDON President 781-302-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MA 73077) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 199217) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |