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Dr. Jonathan M Tisdell, MD
Clinical Neurophysiology Physician in Worcester, Massachusetts
NPI 1528235447

Jonathan M Tisdell is a Clinical Neurophysiology Physician based in Worcester, MA and is specialized in Clinical Neurophysiology. Jonathan M Tisdell practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Jonathan M Tisdell is 1528235447 and holds a License No. 248639 (Massachusetts).

The current practice location address for Jonathan M Tisdell is 123 Summer St Ste 660, Worcester, MA and can be reached out via phone at 508-363-9030 and via fax at 508-363-9037.

Location: 123 Summer St Ste 660, Worcester, MA, 01608-1216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528235447
Provider Name
Jonathan M Tisdell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
123 Summer St Ste 660, Worcester, MA, 01608-1216
Phone Number
508-363-9030
Fax Number
508-363-9037
Provider Enumeration Date
05/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110092622A 05 MA
institution
Provider Business Practice Location Address Details
Address
123 Summer St Ste 660
City
Worcester
State
Massachusetts
Zip
01608-1216
Phone Number
508-363-9030
Fax Number
508-363-9037
person
Provider Business Mailing Address Details
Address
123 Summer St Ste 660
City
Worcester
State
Massachusetts
Zip
01608-1216
Phone Number
508-363-9030
Fax Number
508-363-9037
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
248639 (Massachusetts)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Clinical Neurophysiology
Taxonomy
2084N0600X
License No.
248639 (Massachusetts)
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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