Organization Name: | BERLIANT SLEEP SERVICES LLC |
NPI Number: | 1093903510 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PRITI PANDYA-PATEL (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 120 Wood Ave S Suite 511 Iselin |
State: | NJ US |
Postal Code: | 088302736 |
Phone Number: | 7324943030 |
Fax Number: | 7324943310 |
NPI Enumeration Date: | 10/10/2007 |
NPI Last Update Date: | 10/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |