Individual
DIL TAHERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-3151
Mailing address
10 CONNERS AVE UNIT B307, MANSFIELD, MA 02048-3505
(508) 339-8148
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
243071
NY
Other
Enumeration date
07/31/2007
Last updated
02/05/2014
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