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Organization
SLEEP FOR HEALTH LLC
Active
Organization
SLEEP FOR HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MAZZONE (PRESIDENT)
(609) 751-0425
Entity
Organization
Contact information
Practice address
76 W JIMMIE LEEDS RD, SUITE 402A, GALLOWAY, NJ 08205
(609) 652-2255
(888) 778-6731
Mailing address
1500 S LINCOLN AVE, VINELAND, NJ 08361
(856) 691-2553
(856) 691-3370
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
24202
NJ
293D00000X
Physiological Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147405
HORIZON BCBS
NJ
Enumeration date
11/02/2007
Last updated
05/13/2009
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