MEDICARE: THE TMS INSTITUTE OF PENNSYLVANIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1518599075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE TMS INSTITUTE OF PENNSYLVANIA

Provider Business Mailing Address
First Line	:	790 E MARKET ST STE 235
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19382-4884
Country	:	US
Telephone Number	:	610-738-8671
Fax Number	:	610-738-9934

Provider Business Practice Location Address
First Line	:	790 E MARKET ST STE 235
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19382-4884
Country	:	US
Telephone Number	:	610-738-8671
Fax Number	:	610-738-9934

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. TERRENCE BOYADJIS
Credential	:	MD
Telephone Number	:	610-738-8671

Provider Enumeration Date	:	02/12/2020
Last Update Date	:	02/12/2020

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