Organization
NEUROSYNC MEDICAL GROUP (IL), S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY E. IDOKO (MEDICAL DIRECTOR)
(203) 887-9349
Entity
Organization
Contact information
Practice address
118 WASHINGTON ST, SUITE 14, HOLLISTON, MA 01746
(855) 455-8500
Mailing address
118 WASHINGTON ST, SUITE 14, HOLLISTON, MA 01746
(609) 828-0150
Taxonomy
Speciality
Code
Description
License number
State
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
2251N0400X
Neurology Physical Therapist
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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