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Organization
CREATIVE LIFESTYLES MANAGEMENT PROG
Active
Organization
CREATIVE LIFESTYLES MANAGEMENT PROG
Active
Other names
Laboratory For Sleep Disorders
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES R. STEWART (CFO)
(301) 877-4541
Entity
Organization
Contact information
Practice address
10 ST. PATRICKS DRIVE, SUITE 101, WALDORF, MD 20603-3500
(301) 877-4600
(301) 870-5747
Mailing address
7503 SURRATTS ROAD, CLINTON, MD 20735-3358
(301) 870-7001
(301) 870-6697
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
11/08/2007
Last updated
11/10/2011
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