Healthcare Provider Details

I. General information

NPI: 1891148961
Provider Name (Legal Business Name): CONTEMPORARY TMS OF GREATER BOSTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2016
Last Update Date: 07/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 HOLLY HILL LN
GREENWICH CT
06830-6071
US

IV. Provider business mailing address

60 KENDRICK ST SUITE 204
NEEDHAM MA
02494-2726
US

V. Phone/Fax

Practice location:
  • Phone: 203-321-5063
  • Fax:
Mailing address:
  • Phone: 203-321-5063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TARIQUE PERERA
Title or Position: OWNER
Credential: MD
Phone: 203-561-5063