# COASTAL MEDICAL SLEEP DISORDERS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COASTAL MEDICAL INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861714388
- **Legal business name:** COASTAL MEDICAL INC.
- **Authorized official:** MERYL MOSS (COO)
- **Authorized official phone:** (401) 421-4000

## Contact information

- **Practice address:** 450 VETERANS MEMORIAL PKWY, BLDG 9B, EAST PROVIDENCE, RI 02914-5300
- **Practice address phone:** (401) 438-9607
- **Practice address fax:** (401) 431-2555
- **Mailing address:** 10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
- **Mailing address phone:** (401) 421-4000
- **Mailing address fax:** (401) 272-1456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/25/2010
- **Last updated:** 02/09/2011