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Organization
NOVASOM INC.
Active
Organization
NOVASOM INC.
Active
Parent organization
NOVASOM INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NOVASOM INC.
Authorized official
MR. GREGORY JOHN STOKES (PRESIDENT & COO)
(410) 590-0443
Entity
Organization
Contact information
Practice address
801 CROMWELL PARK DRIVE,, SUITE 108, GLEN BURNIE, MD 21061
(410) 590-0443
(410) 590-4403
Mailing address
801 CROMWELL PARK DRIVE,, SUITE 108, GLEN BURNIE, MD 21061
(410) 590-0443
(410) 590-4403
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003144987A
—
GA
05
—
11051200
—
FL
05
—
1533877
—
TN
05
—
201192900
—
IN
05
—
421865500
—
MD
Enumeration date
07/08/2005
Last updated
11/04/2014
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