# NORTHSHORE RESPIRATORY AND SLEEP

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

## Provider details

- **NPI number:** 1376720987
- **Authorized official:** DR. TIMOTHY F KOWALSKI (PRESIDENT)
- **Authorized official phone:** (440) 954-9388

## Contact information

- **Practice address:** 4212 STATE ROUTE 306, \#110, WILLOUGHBY, OH 44094-9258
- **Practice address phone:** (440) 954-9388
- **Practice address fax:** (440) 269-1338
- **Mailing address:** 1450 SOM CENTER RD, \#25, MAYFIELD HTS, OH 44124-2118
- **Mailing address phone:** (440) 446-1423
- **Mailing address fax:** (440) 446-1498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 01/25/2008
- **Last updated:** 06/06/2008