# SOUTH JERSEY SLEEP DISORDERS CENTER, LLC

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

## Provider details

- **NPI number:** 1487780706
- **Authorized official:** DR. DAWN MARIE KENNEDY-LITTLE DO (PHYSICIAN)
- **Authorized official phone:** (609) 413-1043

## Contact information

- **Practice address:** 120 W NEW JERSEY AVE, LONG BEACH TOWNSHIP, NJ 08008-2764
- **Practice address phone:** (609) 413-1043
- **Practice address fax:** (609) 492-4798
- **Mailing address:** 120 W NEW JERSEY AVE, LONG BEACH TOWNSHIP, NJ 08008-2764
- **Mailing address phone:** (609) 413-1043
- **Mailing address fax:** (609) 492-4798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | 25MB07337300 | NJ | Yes |

## Other

- **Enumeration date:** 02/23/2007
- **Last updated:** 11/10/2010