Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN M TISDELL, MD
ActiveDR. JONATHAN M TISDELL, MD is a Clinical Neurophysiology healthcare provider located in WORCESTER, Massachusetts. NPI 1528235447 is currently active in the NPPES registry. Verify at CMS.
Clinical Neurophysiology · WORCESTER, MA
Registration Details
- NPI Number
- 1528235447
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 9, 2008 (18.288880948012 yrs)
- Last Updated
- Dec 21, 2020
- Licenses
-
248639 (MA)248639 (MA)
Practice Information
- Address
-
123 SUMMER ST STE 660WORCESTER, MA, 016081216Browse MA providers · Browse ZIP 01608
- Phone
- 5083639030
- Fax
- 5083639037
- Primary Specialty
-
Clinical Neurophysiology
2084N0600X
- Additional Specialty
- Clinical Neurophysiology
Other Clinical Neurophysiology Providers in WORCESTER, MA
| Name | Credential | NPI |
|---|---|---|
| LAN QIN | MD | 1154303170 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.