Advanced Sleep Diagnostics LLC
Organization Active NPI Sleep Medicine (Internal Medicine) Physician · Montclair, NJ
NPI 1407358666 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1407358666
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sleep Medicine (Internal Medicine) Physician 207RS0012X
- License
- 25MA07974200 (NJ)
- Legal business name
- ADVANCED SLEEP DIAGNOSTICS LLC
- Practice address
- 160 Walnut St
Montclair, NJ 07042-3802 - Phone
- (973) 783-5276
- Fax
- (973) 783-6014
- NPI assigned
- Mar 5, 2018
- Organization subpart
- No
Authorized official
- Name
- Rina Patel
- Title
- Office Manager
- Phone
- (973) 783-5276
National Provider Directory
Locations
656 E Swedesford Rd
Ste 1
Wayne, PA 19087
Phone (215) 845-0566
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician |
207RS0012X | 25MA07974200 | NJ | Yes |
Addresses
Primary practice location
160 Walnut St
Montclair, NJ 07042-3802
Mailing address
160 Walnut St
Montclair, NJ 07042-3802
Phone (973) 783-5276
Other practice location 1
160 Walnut St
Montclair, NJ 07042-3802
Phone (973) 783-5276
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All providers in Montclair, NJ · Sleep Medicine (Internal Medicine) Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.