# ADVANCED SLEEP DIAGNOSTICS LLC

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

## Provider details

- **NPI number:** 1407358666
- **Authorized official:** RINA PATEL (OFFICE MANAGER)
- **Authorized official phone:** (973) 783-5276

## Contact information

- **Practice address:** 160 WALNUT ST, MONTCLAIR, NJ 07042-3802
- **Practice address phone:** (973) 783-5276
- **Practice address fax:** (973) 783-6014
- **Mailing address:** 160 WALNUT ST, MONTCLAIR, NJ 07042-3802
- **Mailing address phone:** (973) 783-5276
- **Mailing address fax:** (973) 783-6014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 25MA07974200 | NJ | Yes |

## Other

- **Enumeration date:** 03/05/2018
- **Last updated:** 03/17/2018
