Individual
GAYLE FAITH TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF RADIATION ONCOLOGY, WORCESTER, MA 01655-0002
(508) 856-2062
Mailing address
PO BOX 62, TURNPIKE STATION, SHREWSBURY, MA 01545-0062
(508) 334-8815
(508) 334-5374
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
230183
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2126354
—
MA
Enumeration date
07/28/2006
Last updated
02/06/2026
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