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Individual

NEIL THAYIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
820 HARRISON AVE, DEPT.OF RADIOLOGY , FGH BUILDING , 3RD FLOOR, BOSTON, MA 02118-2905
(617) 414-5135
Mailing address
188 CHURCH ST, SARATOGA SPRINGS, NY 12866-1010
(617) 414-5135

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
252113
MA
2085R0202X
Diagnostic Radiology Physician
Primary
292428
NY

Other

Enumeration date
01/25/2012
Last updated
01/31/2020
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