Healthcare Provider Details

I. General information

NPI: 1487594909
Provider Name (Legal Business Name): THOMAS MICHAEL PERKINS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 MAIN ST
DANBURY CT
06810-7832
US

IV. Provider business mailing address

20 MAPLE AVE
OLD SAYBROOK CT
06475-2452
US

V. Phone/Fax

Practice location:
  • Phone: 203-233-7492
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: