Provider Demographics
NPI:1780054742
Name:CONTEMPORARY TMS , LLC
Entity type:Organization
Organization Name:CONTEMPORARY TMS , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:USMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:QAYYUM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-204-7718
Mailing Address - Street 1:185 WEST AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LUDLOW
Mailing Address - State:MA
Mailing Address - Zip Code:01056-1700
Mailing Address - Country:US
Mailing Address - Phone:413-241-0449
Mailing Address - Fax:
Practice Address - Street 1:185 WEST AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:LUDLOW
Practice Address - State:MA
Practice Address - Zip Code:01056-1700
Practice Address - Country:US
Practice Address - Phone:413-241-0449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-03
Last Update Date:2015-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA50517261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty