Organization
DELMARVA SLEEP DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ANTHONY GODLEWSKI (CHIEF EXECUTIVE OFFICER)
(302) 449-5460
Entity
Organization
Contact information
Practice address
104 SLEEPY HOLLOW DR, SUITE 203, MIDDLETOWN, DE 19709-8894
(302) 449-5460
(302) 449-5475
Mailing address
104 SLEEPY HOLLOW DR, SUITE 203, MIDDLETOWN, DE 19709-8894
(302) 449-5460
(302) 449-5475
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
2004206616
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000826401
DELAWARE PHYSICIANS CARE
DE
05
—
1000034930
—
DE
01
—
2133502
MAMSI
DE
01
—
268237
COVENTRY
DE
01
—
3096779
CIGNA
DE
01
—
3843471
AETNA
DE
01
—
A3619429
OXFORD HEALTH
DE
01
—
P00227885
PALMETTO GBA NORTH REGION
DE
Enumeration date
06/01/2006
Last updated
08/22/2020
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