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Organization
MEADVILLE MEDICAL CENTER
Active
Organization
MEADVILLE MEDICAL CENTER
Active
Other names
Meadville Sleep Lab
Organization subpart
No
Provider details
NPI number
Authorized official
RENATO SUNTAY (CEO)
(814) 333-5031
Entity
Organization
Contact information
Practice address
751 LIBERTY ST, SLEEP LAB, MEADVILLE, PA 16335-2559
(814) 333-5174
(814) 373-2153
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5000
(814) 333-5640
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
—
NULL
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
05/06/2014
Last updated
12/10/2015
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