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Organization
PULMONARY SLEEP CARE ASSOCIATES, LLC
Active
Organization
PULMONARY SLEEP CARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAO S MIKKILINENI M.D. (OWNER/ASSOCIATE)
(201) 918-2239
Entity
Organization
Contact information
Practice address
377 JERSEY AVENUE, SUITE 470, JERSEY CITY, NJ 07302
(201) 918-2239
(201) 918-2243
Mailing address
PO BOX 1557, LIVINGSTON, NJ 07039-7157
(201) 918-2239
(201) 918-2243
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
NULL
207RP1001X
Pulmonary Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
02/11/2010
Last updated
02/12/2010
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