| Organization Name: | DELMARVA SLEEP DIAGNOSTICS, INC. |
| NPI Number: | 1003853540 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID ANTHONY GODLEWSKI (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 104 Sleepy Hollow Dr Suite 203 Middletown |
| State: | DE US |
| Postal Code: | 197098894 |
| Phone Number: | 3024495460 |
| Fax Number: | 3024495475 |
| NPI Enumeration Date: | 06/01/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS1200X |
| License Number: | 2004206616 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Sleep Disorder Diagnostic |
| Taxonomy Definition: | |