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Organization
BLUESLEEP CA INC
Active
Organization
BLUESLEEP CA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN CHARLES STERN MD (PRESIDENT)
(212) 683-0174
Entity
Organization
Contact information
Practice address
9855 ERMA RD STE 103, SAN DIEGO, CA 92131-1007
(212) 683-0174
Mailing address
15 BROAD ST APT 2414, NEW YORK, NY 10005-1989
(212) 683-0174
Taxonomy
Speciality
Code
Description
License number
State
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
—
NULL
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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