Organization Name: | CENTER FOR SLEEP MEDICINE |
NPI Number: | 1306967401 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARL R IBERGER (EVP-CFO) |
Mailing Address: | 443 Germantown Pike Lafayette Hill |
State: | PA US |
Postal Code: | 194441813 |
Phone Number: | 6108284060 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 02/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Sleep Disorder Diagnostic |
Taxonomy Definition: |