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Organization
SLEEP DISORDER CENTER OF WYOMING VALLEY
Active
Organization
SLEEP DISORDER CENTER OF WYOMING VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT POTORSKI M.D. (PRESIDENT)
(570) 288-5441
Entity
Organization
Contact information
Practice address
1065 HIGHWAY 315, SUITE 202, WILKES BARRE, PA 18702-6941
(570) 829-6900
(570) 829-0122
Mailing address
610 WYOMING AVE, KINGSTON, PA 18704-3702
(570) 288-5441
(570) 288-5842
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD034081E
PA
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
NULL
Other
Enumeration date
08/29/2006
Last updated
03/12/2008
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