Organization
ADJUA SNORING & SLEEP APNEA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA VIVIAN IRVIN DDS (OWNER)
(215) 329-5512
Entity
Organization
Contact information
Practice address
5201 N BROAD ST, PHILA, PA 19141-1627
(215) 329-5512
(215) 329-0401
Mailing address
5201 N BROAD ST, PHILA, PA 19141-1627
(215) 329-5512
(215) 329-0401
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DS023289L
PA
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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