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Organization
CENTER FOR SLEEP MEDICINE
Active
Organization
CENTER FOR SLEEP MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL R IBERGER (EVP-CFO)
(978) 536-7400
Entity
Organization
Contact information
Practice address
443 GERMANTOWN PIKE, LAFAYETTE HILL, PA 19444-1813
(610) 828-4060
Mailing address
443 GERMANTOWN PIKE, LAFAYETTE HILL, PA 19444-1813
(610) 828-4060
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2062471
AETNA
PA
01
—
P00169262
RR MEDICARE
PA
Enumeration date
04/03/2007
Last updated
02/18/2009
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