# CENTER FOR SLEEP MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306967401
- **Authorized official:** CARL R IBERGER (EVP-CFO)
- **Authorized official phone:** (978) 536-7400

## Contact information

- **Practice address:** 443 GERMANTOWN PIKE, LAFAYETTE HILL, PA 19444-1813
- **Practice address phone:** (610) 828-4060
- **Mailing address:** 443 GERMANTOWN PIKE, LAFAYETTE HILL, PA 19444-1813
- **Mailing address phone:** (610) 828-4060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 02/18/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2062471 | AETNA | PA |
| 01 | — | P00169262 | RR MEDICARE | PA |