Healthcare Provider Details

I. General information

NPI: 1700527306
Provider Name (Legal Business Name): NUROWAV TMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2022
Last Update Date: 04/06/2022
Certification Date: 04/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CEDAR AVE
CROYDON PA
19021-6047
US

IV. Provider business mailing address

100 CEDAR AVE
CROYDON PA
19021-6047
US

V. Phone/Fax

Practice location:
  • Phone: 732-929-7270
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. ARVINDER SINGH
Title or Position: OFFICE INCHARGE
Credential:
Phone: 609-937-3532